OrganizationActive
Independence Center
NPI 1083054787 · Psychiatry Physician · Saint Louis, MO
Independence Center is a Psychiatry Physician organization in Saint Louis, MO (NPI 1083054787).
Provider details
- NPI number
- 1083054787
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Holmes, Executive Director(314) 880-5415
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4219 Laclede Ave
Saint Louis, MO 63108-2814
Phone: (314) 880-5415
Fax: (314) 880-5468
Street-level locationGet directions
Mailing address
4245 Forest Park Ave
Saint Louis, MO 63108-2810
Other names (DBA / former)
- Doing business as
- Independence Center Health Group
- Doing business as
- Midwest Psychiatry
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Frequently asked questions
- What is Independence Center's NPI number?
- Independence Center's National Provider Identifier (NPI) is 1083054787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Center?
- Independence Center is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Independence Center located?
- Independence Center's practice location on file with NPPES is 4219 Laclede Ave, Saint Louis, MO 63108-2814.
- What is Independence Center's phone number?
- The practice phone number listed in the NPPES registry for Independence Center is (314) 880-5415.
- Who is the authorized official for Independence Center?
- The authorized official listed on Independence Center's NPPES record is Patricia Holmes, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Center's NPI active?
- Yes — Independence Center's NPI (1083054787) is active in the NPPES registry as of the last update on 2022-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.