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DR. KELLY N BOTTERON MD
NPI 1013952860
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Louis, MO

Active since June 17, 2006
4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 63108(314) 286-1700(314) 286-1777 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Kelly N Botteron Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY N BOTTERON MD (NPI 1013952860) is an individual child & adolescent psychiatry provider in Saint Louis, Missouri, licensed in Missouri (R3P75) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013952860
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KELLY N BOTTERONCredential: MD
Location Address4444 FOREST PARK AVE, STE 2600Saint Louis, MO 63108-2212
Mailing Address4511 Forest Park Ave, Ste 4300Saint Louis, MO 63108-2138 · (314) 286-1700 · Fax (314) 408-2756
Phone(314) 286-1700
Fax(314) 286-1777
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateNovember 15, 20214 updates tracked since enumeration
✔ NPI 1013952860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MO · R3P75
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

4444 FOREST PARK AVE, Saint Louis, MO 63108
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Other Identifiers 1

Medicaid203692009MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA TEREESE JIMENEZ MD
Obstetrics & Gynecology (Reproductive Endocrinology)
4444 FOREST PARK AVE, DIV OB REPRODUCTIVE ENDOCRINOLOGY, STE 3100
SAINT LOUIS, MO 63108
St. Louis City (314) 286-2400
DR. DANIELLE BUCHANAN IVIE DPT
Physical Therapist
4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1940
MS. MARY GRACE PORTELL LPC
Counselor (Professional)
4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
MRS. PATRICIA K NELLIS OT
Occupational Therapist
4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1669
DR. ROBERT P FUCETOLA PHD
Clinical Neuropsychologist
4444 FOREST PARK AVE, DIV NEUROPSYCHOLOGY, 2ND FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-1408
MS. CHERYL L KLOHR MS OT
Occupational Therapist
4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5079
MS. BRIDGET O OCHUKO DPT
Physical Therapist
4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1940
MS. BROOKE MARIE ANDERSON PMHNP
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Botteron's NPI number?

The NPI number for Kelly Botteron is 1013952860. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Kelly Botteron located?

Kelly Botteron practices at 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108. The listed phone number is (314) 286-1700.

What is Kelly Botteron's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Kelly Botteron was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.