HAWTHORN CHILDREN'S PSYCHIATRIC HOSPTIAL
NPI 1033289897
Psychiatric Hospital in Saint Louis, MO

Active since November 09, 2006CLIA 26D0926457 · Waiver
1901 PENNSYLVANIA AVE, SAINT LOUIS, MO 63133(314) 512-7800(314) 512-7812 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2020, Aug 26, 2019 (2 updates tracked since 2019).

About Hawthorn Children's Psychiatric Hosptial NPPES

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

HAWTHORN CHILDREN'S PSYCHIATRIC HOSPTIAL (NPI 1033289897) is a healthcare organization registered as a psychiatric hospital in Saint Louis, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1033289897
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF MISSOURI
Location Address1901 PENNSYLVANIA AVESaint Louis, MO 63133-1325
Mailing AddressPo Box 687Jefferson City, MO 65102-0687 · (573) 751-3398 · Fax (573) 526-4560
Fax(314) 512-7812
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
NPI 1033289897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License Licensed in MO · EXEMPT
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
1901 PENNSYLVANIA AVE, Saint Louis, MO 63133

Other Names 1

Doing Business AsHawthorn Children's Psychiatric Hosptial

Other Identifiers 1

Medicaid021774005MO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0926457

Hawthorn Children's Psychiatric Hospital · Saint Louis, MO
Active · expires Mar 23, 2027
CLIA Number26D0926457
Laboratory TypeOther
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorCristiana Teodorescu
Laboratory Phone(314) 862-7227
Laboratory LocationHawthorn Children's Psychiatric Hospital1901 Pennsylvania, Saint Louis, MO 63133
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Psychiatry & Neurology (Psychiatry)
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133
Psychologist (Clinical)
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133
Pharmacist
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133
Registered Nurse (General Practice)
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133
Pharmacist
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133
Psychiatry & Neurology (Psychiatry)
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133
Case Management
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133

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 State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1033289897. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Hawthorn Children's Psychiatric Hosptial.

Where is State Of Missouri located?

State Of Missouri is located at 1901 Pennsylvania Ave, Saint Louis, MO 63133. The listed phone number is (314) 512-7800.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does State Of Missouri hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0926457) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does State Of Missouri accept?

Health plans from Oscar Insurance Company list State Of Missouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.