Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Psychological Group, Inc

Organization Prescribing (Medical) Psychologist · NPI 1386767994

Phoenix Psychological Group, Inc provides Prescribing (Medical) Psychologist services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 S Meramec Ave Ste 506
Saint Louis, MO 63105-3596
Phone: (314) 863-3588
Fax: (314) 863-0074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence PY01201 (MO)

Record details

NPI number1386767994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Shaw — President · (314) 863-3588
NPI enumeratedApril 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address225 S Meramec Ave, Suite 506, Saint Louis, MO 63105-3596

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