DR. JOHN KURIAKO THEKKEDAM PH.D.
NPI 1477659498
Psychologist - Clinical in Saint Louis, MO

Q: What is John Thekkedam's NPI number?

The NPI number for John Thekkedam is 1477659498. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is John Thekkedam'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 John Thekkedam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 16, 2006

1505 HAVILAND DR, SAINT LOUIS, MO 63137(314) 868-2400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John Kuriako Thekkedam Ph.d. NPPES

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

DR. JOHN KURIAKO THEKKEDAM PH.D. (NPI 1477659498) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (01242) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1477659498

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN KURIAKO THEKKEDAMCredential: PH.D.

Location Address1505 HAVILAND DRSaint Louis, MO 63137-1559

Mailing Address1505 Haviland DrSaint Louis, MO 63137-1559 · (314) 868-2400

Phone(314) 868-2400

Sole ProprietorYes

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477659498 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 · 01242

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.

1505 HAVILAND DR, Saint Louis, MO 63137

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Other Identifiers 2

Medicare UPINR00881

Medicare ID-Type Unspecified928400IL

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 John Thekkedam's NPI number?

The NPI number for John Thekkedam is 1477659498. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is John Thekkedam located?

John Thekkedam practices at 1505 Haviland Dr, Saint Louis, MO 63137. The listed phone number is (314) 868-2400.

What is John Thekkedam'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 John Thekkedam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.