Hawthorn Children'S Psychiatric Hosptial

LBN: State Of Missouri
Hawthorn Children'S Psychiatric Hosptial is an health care organization with primary practice located at 1901 Pennsylvania Ave , Saint Louis MO 63133-1325. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. State Of Missouri can be contacted via phone (314) 512-7800, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
1901 Pennsylvania Ave Saint Louis MO 63133-1325
Phone: (314) 512-7800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1376753798
LBN Legal business name State Of Missouri
DBA Doing business as Hawthorn Children'S Psychiatric Hosptial
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2007
Last updated Oct 27th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376753798 NPPES
Missouri MEDICAID 501774004

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