WILLOW TREE CENTER – NPI #1992254452
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

WILLOW TREE CENTER is a psychiatry & neurologist located in O'FALLON, MO. NPPES has assigned the NPI number 1992254452 to WILLOW TREE CENTER on September 26, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILLOW TREE CENTER” is a dba name, the actual legal business name for this organization is WILLOW TREE MENTAL HEALTH CENTER, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLOW TREE CENTER below.

NPI Profile for
WILLOW TREE MENTAL HEALTH CENTER, LLC

NPI Number
1992254452
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILLOW TREE MENTAL HEALTH CENTER, LLC
Doing Business As (dba): WILLOW TREE CENTER
Primary location
9979 WINGHAVEN BLVD
SUITE 202
O'FALLON, MO 63368-3627
Phone: (636) 695-2690 Fax:
Mailing address
2123 ROSELAKE CIR
COTTLEVILLE, MO 63376-7772
Phone: (615) 785-5124 Fax:
Organization Subpart
No
Authorized Official
KATIE WILSON
MEDICAL DIRECTOR
Phone: (636) 695-2690
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
MO 2011040150
101YP2500X
- Counselor / Professional

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.