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CASEY VICKSTROM MD, PHD
NPI 1154053411
Psychiatry & Neurology - Neurology in Saint Louis, MO

Active since June 27, 2022
1 CHILDRENS PL STE 3S34, SAINT LOUIS, MO 63110(314) 454-6006 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casey Vickstrom Md, Phd NPPES

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

CASEY VICKSTROM MD, PHD (NPI 1154053411) is an individual neurology provider in Saint Louis, Missouri, licensed in Missouri (2023040873) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1154053411
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameCASEY VICKSTROMCredential: MD, PHD
Location Address1 CHILDRENS PL STE 3S34Saint Louis, MO 63110-1002
Mailing Address1 Childrens Pl Ste 3s34Saint Louis, MO 63110-1002 · (314) 454-6120 · Fax (314) 454-4225
Phone(314) 454-6006
Sole ProprietorNo
Enumeration DateJune 27, 2022
Last NPPES UpdateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1154053411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MO · 2023040873
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1 CHILDRENS PL STE 3S34, Saint Louis, MO 63110
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Other Providers at the Same Location NPPES 13

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

VIHAS ABRAHAM
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
SHASHANK ANAND
Student in an Organized Health Care Education/Training Program
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
EMILY ANNE KELSOE MD
Pediatrics
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-5437
DR. CARLEY A GILMAN MD
Pediatrics
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
MALINI KAMINENI MD
Pediatrics
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (480) 785-6259
KENNEDY LAINE KAREM MD
Pediatrics
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (502) 727-4203
LAURA PEREZ-ARNOLD MD
Pediatrics
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
OLIVIA GRACE PERSON MD
Pediatrics
1 CHILDRENS PL STE 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006

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 Casey Vickstrom's NPI number?

The NPI number for Casey Vickstrom is 1154053411. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Casey Vickstrom located?

Casey Vickstrom practices at 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110. The listed phone number is (314) 454-6006.

What is Casey Vickstrom's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Casey Vickstrom was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.