Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Psychiatric Center of Creve Coeur, Ltd

Organization Child & Adolescent Psychiatry Physician · NPI 1881750214

Psychiatric Center of Creve Coeur, Ltd provides Child & Adolescent Psychiatry Physician services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13100 Manchester Rd Ste 150
Saint Louis, MO 63131-1743
Phone: (314) 692-7886
Fax: (314) 692-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 09076046 (MO)

Record details

NPI number1881750214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Banton — President · (314) 692-7886
Other names Psychiatric Center Ltd.
NPI enumeratedDecember 29, 2006
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743

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