JACK L. CROUGHAN INC – Psychiatry Physician, NPI 1982928065

JACK L. CROUGHAN INC is a healthcare provider. based in Saint louis, Missouri. specializing in Psychiatry Physician. The organization holds a License No. R5543 (MO). The NPI Number for JACK L. CROUGHAN INC is 1982928065

Main info

Organization
Name
JACK L. CROUGHAN INC
NPI
1982928065
Phone
(314) 725-4004
Address
1034 S BRENTWOOD BLVD
Authorized Official
MR. JACK LESTER CROUGHAN PRESIDENT MD
Enumeration Date
18 March 2010
Last Update Date
18 March 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for JACK L. CROUGHAN INC

  • 1034, South Brentwood Boulevard, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    SUITE 970

    SAINT LOUIS, MO 631171223

    Phone: (314) 725-4004

    Fax: (314) 725-4004

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63117)

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Frequently asked questions

What unique ID ties claims to JACK L. CROUGHAN INC?
NPI 1982928065 is assigned to JACK L. CROUGHAN INC under the national enumeration system.
Is JACK L. CROUGHAN INC's NPI currently valid?
The extract we use shows JACK L. CROUGHAN INC as active.
What kind of provider is JACK L. CROUGHAN INC?
The page reflects Psychiatry Physician for JACK L. CROUGHAN INC. Clinical services aligned with this taxonomy classification.
Does JACK L. CROUGHAN INC practice in Missouri?
You will see Saint Louis, Missouri on file for JACK L. CROUGHAN INC alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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