DR. STACEY WOODROME PH.D.
NPI 1689852253
Clinical Neuropsychologist in Saint Louis, MO

Q: What is Stacey Woodrome's NPI number?

The NPI number for Stacey Woodrome is 1689852253. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Q: What is Stacey Woodrome's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Woodrome was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 06, 2008PECOS Enrolled

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5667(314) 268-2784 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Stacey Woodrome Ph.d. NPPES

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

DR. STACEY WOODROME PH.D. (NPI 1689852253) is an individual clinical neuropsychologist in Saint Louis, Missouri, licensed in Missouri (2010017666) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1689852253

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. STACEY WOODROMECredential: PH.D.

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5667 · Fax (314) 268-2784

Phone(314) 577-5667

Fax(314) 268-2784

Sole ProprietorNo

Enumeration DateFebruary 6, 2008

Last NPPES UpdateNovember 10, 2020

NPPES CertifiedNovember 10, 2020

✔ NPI 1689852253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MO · 2010017666

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1465 S GRAND BLVD, Saint Louis, MO 63104

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Secondary Practice Location 1

Location 13800 Park Ave Fl 2Saint Louis, MO 63110-2514 · Phone (314) 577-5667

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacey Woodrome Ph.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.

Medicare Billing Reassignments

Medicare enrollment records show Stacey Woodrome reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group

0.2 mi

Internal Medicine

1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104

Reassigned Medicare billing, Missouri enrollment
1,294 clinicians in this Medicare group

NPI 1306589544 (314) 977-6100

Ssm Cardinal Glennon Childrens Hospital

13 mi

Pediatrics

2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
414 clinicians in this Medicare group

NPI 1073568226 (314) 268-4070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. SARAH MARGARET HANLY PH.D.

Psychologist (Clinical)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5667

KAVIPRIYA KOMESWARAN

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 617-2000

ALEXIS HAAS STEWART

Anesthesiologist Assistant

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 977-5700

NATALIE DRURY RD, LD

Dietitian, Registered (Nutrition, Pediatric)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5387

MS. MASHAL AZIZ RANA MBBS

Student in an Organized Health Care Education/Training Program

1465 S GRAND BLVD
ST.LOUIS, MO 63104

St. Louis City (314) 577-5382

TIMOTHY J KUTZ MD

Pediatrics (Child Abuse Pediatrics)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-6406

CHRISTOPHER SALLEE MD

Pediatrics

1465 S GRAND BLVD
ST. LOUIS, MO 63104

St. Louis City (314) 577-1607

AMBER GRANA DO

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5695

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 Stacey Woodrome's NPI number?

The NPI number for Stacey Woodrome is 1689852253. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Stacey Woodrome located?

Stacey Woodrome practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5667.

What is Stacey Woodrome's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Stacey Woodrome enrolled in Medicare?

Yes. Stacey Woodrome is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Woodrome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Woodrome reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Woodrome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Woodrome accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Oscar Insurance Company list Stacey Woodrome as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Woodrome was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.