JACK L. CROUGHAN INC
NPI 1982928065
Psychiatry & Neurology - Psychiatry in Saint Louis, MO

Active since March 18, 2010
1034 S BRENTWOOD BLVD, SUITE 970, SAINT LOUIS, MO 63117(314) 725-4004(314) 725-4004 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack L. Croughan Inc NPPES

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

JACK L. CROUGHAN INC (NPI 1982928065) is a healthcare organization registered as a psychiatry in Saint Louis, Missouri and active in the NPI registry since March 2010. The organization lists Jack Lester Croughan, President, as its authorized official.

NPPES Registry Identity

NPI1982928065
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameJACK L. CROUGHAN INC
Location Address1034 S BRENTWOOD BLVD, SUITE 970Saint Louis, MO 63117-1223
Mailing Address1034 S Brentwood Blvd, Suite 970Saint Louis, MO 63117-1223 · (314) 725-4004 · Fax (314) 725-4004
Fax(314) 725-4004
Organization SubpartNo
Authorized OfficialJack Lester CroughanPresident · (314) 725-4004
Enumeration DateMarch 18, 2010
NPI 1982928065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MO · R5543
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License R5543 (MO)
1034 S BRENTWOOD BLVD, Saint Louis, MO 63117

Other Identifiers 1

Medicare UPIN000005056MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Social Worker (Clinical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
Physician Assistant (Medical)
1034 S BRENTWOOD BLVD, SUITE 1120
SAINT LOUIS, MO 63117
Clinical Nurse Specialist (Medical-Surgical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
Specialist
1034 S BRENTWOOD BLVD, SUITE 516
SAINT LOUIS, MO 63117
Psychiatry & Neurology (Neurology)
1034 S BRENTWOOD BLVD, SUITE 660
SAINT LOUIS, MO 63117
Pharmacist
1034 S BRENTWOOD BLVD, SUITE 102
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1034 S BRENTWOOD BLVD, SUITE 946
SAINT LOUIS, MO 63117
Counselor (Professional)
1034 S BRENTWOOD BLVD
RICHMOND HEIGHTS, MO 63117

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 Jack L. Croughan Inc's NPI number?

The NPI number for Jack L. Croughan Inc is 1982928065. It was assigned to this organization in the NPPES registry on March 18, 2010.

Where is Jack L. Croughan Inc located?

Jack L. Croughan Inc is located at 1034 S Brentwood Blvd Suite 970, Saint Louis, MO 63117. The listed phone number is (314) 725-4004.

What is Jack L. Croughan Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Jack L. Croughan Inc was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.