DR. JOHN PAUL WUNDERLICH PSY.D.
NPI 1568958239
Psychologist - Clinical in Saint Louis, MO

Q: What is John Wunderlich's NPI number?

The NPI number for John Wunderlich is 1568958239. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Q: What is John Wunderlich'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 Wunderlich was last updated on May 25, 2022. 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 06, 2018PECOS Enrolled

1129 MACKLIND AVE, SAINT LOUIS, MO 63110(314) 881-3487(314) 534-7996 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 25, 2022, Jul 6, 2018 (2 updates tracked since 2018).

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About Dr. John Paul Wunderlich Psy.d. NPPES

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

DR. JOHN PAUL WUNDERLICH PSY.D. (NPI 1568958239) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2020009163) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568958239

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN PAUL WUNDERLICHCredential: PSY.D.

Location Address1129 MACKLIND AVESaint Louis, MO 63110-1440

Mailing Address1129 Macklind AveSaint Louis, MO 63110-1440 · (314) 881-3487 · Fax (314) 534-7996

Phone(314) 881-3487

Fax(314) 534-7996

Sole ProprietorNo

Enumeration DateJuly 6, 2018

Last NPPES UpdateMay 25, 20222 updates tracked since enumeration

NPPES CertifiedMay 25, 2022

✔ NPI 1568958239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MO · 2020009163

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.

Also ListedCounselorTaxonomy 101Y00000X

1129 MACKLIND AVE, Saint Louis, MO 63110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Paul Wunderlich Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$169.38 typical visit price

range $55.65 – $169.38

Typical copayment $42.34 (range $13.91 – $42.34)

Most-billed visit code 99205

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA LYN BURICH PMHNP

Nurse Practitioner (Psychiatric/Mental Health)