Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Howard Jay Ilivicky, MD

Individual provider Psychiatry Physician · NPI 1093711152

Howard Jay Ilivicky, MD is a Psychiatry in Saint Charles, Missouri. Graduated from Washington University School of Medicine in 1989, 37 years ago. Practices with Mindful Health Solutions Wa PC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Washington.

Years since qualifying
37
Trained at
Washington University School of Medicine
Licensed in
MO, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 1st Capitol Dr Ste 390
Saint Charles, MO 63301-2852
Phone: (636) 949-5760
Fax: (636) 949-0729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD61660624 (WA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 118786 (MO)

Record details

NPI number1093711152
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2005
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address4132 Keaton Crossing Blvd, Ste 201, O Fallon, MO 63368-8222

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Mindful Health Solutions Wa Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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