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JACQUELINE LISA JACOBS-GOURTZELIS M.D.
NPI 1245391952
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Louis, MO

Active since December 13, 2006
1430 OLIVE ST, SUITE 400, SAINT LOUIS, MO 63103(314) 206-3700(314) 206-3708 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Lisa Jacobs-gourtzelis M.d. NPPES

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

JACQUELINE LISA JACOBS-GOURTZELIS M.D. (NPI 1245391952) is an individual child & adolescent psychiatry provider in Saint Louis, Missouri, licensed in Missouri (2006005280) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1245391952
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJACQUELINE LISA JACOBS-GOURTZELISCredential: M.D.
Location Address1430 OLIVE ST, SUITE 400Saint Louis, MO 63103-2303
Mailing Address1430 Olive St, Suite 400Saint Louis, MO 63103-2303 · (314) 206-3700
Phone(314) 206-3700
Fax(314) 206-3708
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1245391952 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 · 2006005280
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.
1430 OLIVE ST, Saint Louis, MO 63103
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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.

MR. ROBERT HARRY BRADY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1430 OLIVE ST, SUITE 500
SAINT LOUIS, MO 63103
St. Louis City (314) 206-3724
MR. JOEL CLAUDE CHARLES
Case Manager/Care Coordinator
1430 OLIVE ST, SUITE 500
SAINT LOUIS, MO 63103
St. Louis City (314) 206-3700
MS. DENISE SHERRI ROGERS
Social Worker (Clinical)
1430 OLIVE ST
SAINT LOUIS, MO 63103
St. Louis City (314) 206-3700
IRMA JASAREVIC
Case Manager/Care Coordinator
1430 OLIVE ST, SUITE 500
SAINT LOUIS, MO 63103
St. Louis City (314) 206-3700
MRS. ROSEMARIE ELIZABETH WADDY MSW
Social Worker (Clinical)
1430 OLIVE ST, SUITE 400
SAINT LOUIS, MO 63103
St. Louis City (314) 206-3826
AMANDA HARTSELL
Registered Nurse
1430 OLIVE ST, SUITE 100
SAINT LOUIS, MO 63103
St. Louis City (314) 621-5000
PATRICK B HUMMERT BSW
Social Worker
1430 OLIVE ST, SUITE 400
SAINT LOUIS, MO 63103
St. Louis City (314) 206-3799
MRS. TAMURA RENIECE BINION BA
Case Manager/Care Coordinator
1430 OLIVE ST
SAINT LOUIS, MO 63103
St. Louis City (314) 206-3700

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 Jacqueline Jacobs-gourtzelis's NPI number?

The NPI number for Jacqueline Jacobs-gourtzelis is 1245391952. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jacqueline Jacobs-gourtzelis located?

Jacqueline Jacobs-gourtzelis practices at 1430 Olive St Suite 400, Saint Louis, MO 63103. The listed phone number is (314) 206-3700.

What is Jacqueline Jacobs-gourtzelis'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 Jacqueline Jacobs-gourtzelis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.