OrganizationActive
Jack L. Croughan Inc
NPI 1982928065 · Psychiatry Physician · Saint Louis, MO
Provider details
- NPI number
- 1982928065
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Croughan, President(314) 725-4004
- License
- R5543 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1034 S Brentwood Blvd
Suite 970
Saint Louis, MO 63117-1223
Phone: (314) 725-4004
Fax: (314) 725-4004
Street-level locationGet directions
Mailing address
1034 S Brentwood Blvd
Saint Louis, MO 63117-1223
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2010-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.