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

Active since February 06, 2008PECOS EnrolledAccepts Medicare Assignment
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: August 23, 2026.

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, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2004).

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
Medical School CMSOtherGraduated 2004
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 and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacey Woodrome Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698967214
PECOS Enrollment IDI20101014000073
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.

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
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
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Woodrome accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and Providence Health Plan 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.