MIDWEST PSYCHIATRY
NPI 1083054787
Psychiatry & Neurology - Psychiatry in Saint Louis, MO

Q: What is Independence Center's NPI number?

The NPI number for Independence Center is 1083054787. It was assigned to this organization in the NPPES registry on June 27, 2013. The provider is doing business as Midwest Psychiatry and Independence Center Health Group.

Q: What is Independence Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 27, 2013CLIA 26D2329085 · Waiver

4219 LACLEDE AVE, SAINT LOUIS, MO 63108(314) 880-5415(314) 880-5468 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Midwest Psychiatry NPPES

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

MIDWEST PSYCHIATRY (NPI 1083054787) is a healthcare organization registered as a psychiatry in Saint Louis, Missouri and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Patricia Holmes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083054787

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameINDEPENDENCE CENTER

Location Address4219 LACLEDE AVESaint Louis, MO 63108-2814

Mailing Address4245 Forest Park AveSaint Louis, MO 63108-2810 · (314) 880-5415 · Fax (314) 880-5468

Phone(314) 880-5415

Fax(314) 880-5468

Organization SubpartNo

Authorized OfficialPatricia HolmesExecutive Director · (314) 880-5415

Enumeration DateJune 27, 2013

Last NPPES UpdateJune 27, 2022

NPPES CertifiedJune 27, 2022

✔ NPI 1083054787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4219 LACLEDE AVE, Saint Louis, MO 63108

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Other Names 2

Doing Business AsMidwest Psychiatry

Doing Business AsIndependence Center Health Group

Other Identifiers 1

Medicaid560003943MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 26D2329085

Independence Center · Saint Louis, MO

Active · expires Aug 20, 2027

CLIA Number26D2329085

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorSarah Hartz

Laboratory Phone(314) 881-5885

Laboratory LocationIndependence Center4245 Forest Park Ave, Saint Louis, MO 63108

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MS. BARBARA LYNN DEVOS-SCHOENIG L.C.S.W.

Social Worker (Clinical)