Organization
ELITE PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON MICHELLE JENNINGS M.D. (PHYSICIAN)
(636) 484-0632
Entity
Organization
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-5370
(314) 653-5399
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 872-1439
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2004001640
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504045402
—
MO
01
—
DF9548
RR MEDICARE GROUP#
MO
Enumeration date
07/11/2007
Last updated
09/22/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us