DR. MARY M CRADOCK PH.D.
NPI 1336169358
Psychologist - Clinical in Saint Louis, MO

Q: What is Mary Cradock's NPI number?

The NPI number for Mary Cradock is 1336169358. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Mary Cradock's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Cradock was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 20, 2006

1 CHILDRENS PL, #3N14, SAINT LOUIS, MO 63110(314) 454-6069(314) 454-4013 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary M Cradock Ph.d. NPPES

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

DR. MARY M CRADOCK PH.D. (NPI 1336169358) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2001030205) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336169358

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY M CRADOCKCredential: PH.D.

Location Address1 CHILDRENS PL, #3N14Saint Louis, MO 63110-1002

Mailing Address1 Childrens Pl, #3n14Saint Louis, MO 63110-1002 · (314) 454-6069 · Fax (314) 454-4013

Phone(314) 454-6069

Fax(314) 454-4013

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateNovember 2, 2021

NPPES CertifiedNovember 2, 2021

✔ NPI 1336169358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MO · 2001030205

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1 CHILDRENS PL, Saint Louis, MO 63110

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Other Identifiers 3

Other160276Bcbs

Medicaid495448706MO

Other106592Ubh

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.

ARIE BAKER MSW, LCSW

Social Worker (Clinical)

1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110

St. Louis City (314) 747-6169

HANNAH EDELMAN MD, PHD

Psychiatry & Neurology (Neurology)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

SUSAN CHEUNG WALSH AUD

Audiologist-Hearing Aid Fitter

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-4649

MS. JENNIFER MARIE JACOBI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

MS. EMILY LINCOLN RN, NNP-BC

Nurse Practitioner (Neonatal, Critical Care)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

MS. MARISSA ROSE PEREZ-MAGNELLI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

DR. WILLIAM L RIVES MD

Hospitalist

1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2076

DR. PETER M KILBRIDGE MD

Pediatrics

1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2479

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 Mary Cradock's NPI number?

The NPI number for Mary Cradock is 1336169358. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Mary Cradock located?

Mary Cradock practices at 1 Childrens Pl #3n14, Saint Louis, MO 63110. The listed phone number is (314) 454-6069.

What is Mary Cradock's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mary Cradock was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.