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Contact Information

MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC
615 S NEW BALLAS RD
EDGEWOOD CENTER
SAINT LOUIS, MO63141-8221
 Phone: 314-251-6898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC

NPI Number 1265562300
LBN Legal business name MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC
Authorized official KERRY DUNGER - (EXECUTIVE DIRECTOR - FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/07/2007
Last updated 04/28/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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