Healthcare Provider Details

I. General information

NPI: 1750692638
Provider Name (Legal Business Name): GLOBAL PSYCHIATRIC ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16216 BAXTER RD STE 323
CHESTERFIELD MO
63017-4778
US

IV. Provider business mailing address

16216 BAXTER RD STE 323
CHESTERFIELD MO
63017-4778
US

V. Phone/Fax

Practice location:
  • Phone: 314-439-0325
  • Fax:
Mailing address:
  • Phone: 314-439-0325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number2084P0804X
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BELLO A ADEJOH
Title or Position: OWNER
Credential: MD
Phone: 573-359-1372