Provider Demographics
NPI:1962563429
Name:NORTHWEST PSYCHIATRIC ASSOCIATES, LTD
Entity type:Organization
Organization Name:NORTHWEST PSYCHIATRIC ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JOHANN
Authorized Official - Last Name:ARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-695-4554
Mailing Address - Street 1:9979 WINGHAVEN BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-3628
Mailing Address - Country:US
Mailing Address - Phone:636-695-4554
Mailing Address - Fax:636-695-3099
Practice Address - Street 1:9979 WINGHAVEN BLVD STE 202
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-3628
Practice Address - Country:US
Practice Address - Phone:636-695-4554
Practice Address - Fax:636-695-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000011932OtherMEDICARE MO NWPA
IL211318OtherMEDICARE SCOTT ARBAUGH MD INDIVIDUAL ILLINOIS
IL215820OtherMEDICARE IL NWPA
MO002011932Medicare PIN
IL215820OtherMEDICARE IL NWPA
MO003011932Medicare PIN