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NPI Code Detail

MEDICARE: RYAN HAVEY MD

MEDICARE: RYAN HAVEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician2025041741MO

General Provider Information

NPI Number : 1508542713
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN HAVEY MD
Provider Business Mailing Address
First Line : 660 S EUCLID AVE, CB #8134-17-2000
Second Line :
City : ST. LOUIS
State : MO
Zip : 63110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BARNES JEW HOSP PLZ
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-1003
Country : US
Telephone Number : 314-747-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2023
Last Update Date : 05/20/2026

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