Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

State of Missouri

Psychiatry Physician in Saint Louis, MO · enumerated 2006 · authorized official Molly Boeckmann, Director of Administrative Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073567491

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Registry record

Entity type Organization (Type 2)

Legal business name State of Missouri

Other name <Unavail>

Parent organization State of Missouri

Practice address 5351 Delmar Blvd, Saint Louis, MO, 63112

Phone (314) 877-0500

Fax (314) 877-0553

Enumeration date May 20, 2006

Last updated in NPPES Oct 27, 2020

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Molly Boeckmann

Title Director of Administrative Services

Phone (573) 751-4055

Other identifiers

Identifier	Type	State	Issuer
500565700	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-27. Verify at npiregistry.cms.hhs.gov.

Where is State of Missouri located?

The practice location on file with NPPES is in Saint Louis, MO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-27.