ST. JOHN'S MERCY HEALTH SERVICES, LLC
NPI 1053458299
Psychologist - Addiction (Substance Use Disorder) in Saint Louis, MO

NPI Status: Active since January 30, 2007

Contact Information

1000 DES PERES RD
SUITE 200C
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 729-4639

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  • Organization
  • Psychologist
  • Addiction (Substance Use Disorder)

About ST. JOHN'S MERCY HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for St. John's Mercy Health Services, Llc, a provider established in Saint Louis, Missouri operating as a Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1053458299 assigned on January 2007. The practitioner's primary taxonomy code is 103TA0400X. The provider is registered as an organization and their NPI record was last updated one year ago. St. John's Mercy Health Services, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mr. Scott Frederick Ph.d (Director)

NPI
1053458299
Provider Legal Name
ST. JOHN'S MERCY HEALTH SERVICES, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1000 DES PERES RD SUITE 200C SAINT LOUIS, MO 63131
Location Phone
(314) 729-4639
Mailing Address
1000 DES PERES RD SUITE 200C SAINT LOUIS, MO 63131
Mailing Phone
(314) 729-4639
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2007
Last Update Date
09-11-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Addiction (Substance Use Disorder)

Taxonomy Code
103TA0400X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SCOTT FREDERICK PH.D

Authorized Official Title
DIRECTOR
Authorized Official Phone
(314) 729-4639

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053458299, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 8 + 5 + 1 + 6 + 2 + 1 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053458299.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1000 DES PERES RD, SUITE 120
SAINT LOUIS, MO 63131
Radiology (Radiation Oncology)
1000 DES PERES RD, SUITE 100
DES PERES, MO 63131
Physical Therapist
1000 DES PERES RD, SUITE #130
SAINT LOUIS, MO 63131
Physical Therapist
1000 DES PERES RD, 120
SAINT LOUIS, MO 63131
Physical Therapist
1000 DES PERES RD
DES PERES, MO 63131
Orthopaedic Surgery (Sports Medicine)
1000 DES PERES RD, SUITE 325
SAINT LOUIS, MO 63131
Clinic/Center (Rehabilitation)
1000 DES PERES RD, 120
SAINT LOUIS, MO 63131
Clinic/Center (Podiatric)
1000 DES PERES RD, SUITE 120
SAINT LOUIS, MO 63131
Psychiatry & Neurology (Psychiatry)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
Counselor (Professional)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
Social Worker (Clinical)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
Counselor (Professional)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
Social Worker (Clinical)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
Counselor (Professional)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
Social Worker (Clinical)
1000 DES PERES RD, SUITE 200-C
SAINT LOUIS, MO 63131
Chiropractor
1000 DES PERES RD
SAINT LOUIS, MO 63131
Chiropractor
1000 DES PERES RD, STE 120
SAINT LOUIS, MO 63131
Obstetrics & Gynecology
1000 DES PERES RD, SUITE 300
SAINT LOUIS, MO 63131
Obstetrics & Gynecology
1000 DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131
Physical Therapy Assistant
1000 DES PERES RD, SUITE 130
SAINT LOUIS, MO 63131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053458299, enumerated as an "organization" on January 30, 2007.

The provider is located at 1000 DES PERES RD SUITE 200C SAINT LOUIS, MO 63131 and the phone number is (314) 729-4639.

Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).