Provider Demographics
NPI:1013188572
Name:JOE BEHRMANN MD PSYCHIATRY & PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:JOE BEHRMANN MD PSYCHIATRY & PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BEHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-479-4106
Mailing Address - Street 1:1034 S. BRENTWOOD BLVD.
Mailing Address - Street 2:SUITE 516
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117
Mailing Address - Country:US
Mailing Address - Phone:314-230-4490
Mailing Address - Fax:314-453-3477
Practice Address - Street 1:1034 S. BRENTWOOD BLVD.
Practice Address - Street 2:SUITE 516
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117
Practice Address - Country:US
Practice Address - Phone:314-479-4106
Practice Address - Fax:314-453-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040086292084P0800X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209302900Medicaid
MO192398OtherBLUE CROSS BLUE SHEILD
MO209302918Medicaid
MO120175Medicare UPIN
MO000014319Medicare PIN
MO192398OtherBLUE CROSS BLUE SHEILD
000014319Medicare PIN