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ADVANCED GERIATRIC MANAGEMENT LLC NPI 1427114107


NPI Information

NPI: 1427114107
Provider Name: ADVANCED GERIATRIC MANAGEMENT LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 26D2006709

Address:
12303 DE PAUL DR
ST VINCENT
BRIDGETON, MO
ZIP 63044
Phone: (314) 298-0023
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ADVANCED GERIATRIC MANAGEMENT LLC is a psychiatry psychiatry neurology in Bridgeton, MO. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ADVANCED GERIATRIC MANAGEMENT LLC NPI is 1427114107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12303 DE PAUL DR
ST VINCENT
BRIDGETON, MO
ZIP 63044-512
Phone: (314) 298-0023

The provider's authorized official is Franco Sicuro .
The authorized official title is President and has the following contact phone number (314) 344-7392.

The CLIA number assigned to this NPI record is 26D2006709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 4/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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