Healthcare Provider Details

I. General information

NPI: 1033631692
Provider Name (Legal Business Name): NATALIE ANDREA SEMINARIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 MACKLIND AVE
SAINT LOUIS MO
63110-1440
US

IV. Provider business mailing address

4495 MILITARY TRL STE 201
JUPITER FL
33458-4818
US

V. Phone/Fax

Practice location:
  • Phone: 314-534-0200
  • Fax: 314-534-7996
Mailing address:
  • Phone: 214-865-9126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number25MA11661900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101285543
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number25MA11661900
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA11661900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: