Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821046012 Individual Practitioner Male Practitioner

Dr. Patrick Joseph Lustman , PhD

Psychologist • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Lustman, PhD is a registered healthcare professional specializing in Psychologist in Saint Louis, MO. Practice services are available at 660 S EUCLID AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

660 S Euclid Ave

Saint Louis, MO 631101010

Telephone 3142861700
Fax 3143627012
Associated Practice Facility / Clinic
🏢 Washington University Facility NPI 1528005642

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
144 Specialists

Practicing in Saint Louis, MO (635 Statewide)

Telehealth Adoption Rate
9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MO 01053

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
493275408 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Rushaniya Khairova , MD

Psychiatry & Neurology - Psychiatry

NPI 1013243476

Doctor of Medicine (M.D.)

Mary Grace Portell , LPC

Counselor - Professional

NPI 1013286996

Licensed Professional Counselor

NPI 1013944784

Doctor of Psychology (Psy.D.)

Dr. Kelly Botteron , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1013952860

Doctor of Medicine (M.D.)

Dr. Jessica Gold , MD

Psychiatry & Neurology - Psychiatry

NPI 1033538442

Doctor of Medicine (M.D.)

Dr. Jarrod Holiday , MD

Psychiatry & Neurology - Psychiatry

NPI 1033560131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2017

Registered at 660 S EUCLID AVE, SAINT LOUIS, MO 631101010 (Tel: 3142861700)

📍
Updated Business Mailing Address January 24, 2017

Registered at 660 S EUCLID AVE, C B 8134, SAINT LOUIS, MO 631101010 (Tel: 3142861700)

👤
Provider Name / Credentials Updated January 24, 2017

Recorded as PATRICK LUSTMAN, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Psychologist (License #01053 in MO)

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2016

Registered at 4940 CHILDRENS PL, ROOM 1116, SAINT LOUIS, MO 631101000 (Tel: 3142861700)

📍
Updated Business Mailing Address November 14, 2016

Registered at 660 S EUCLID AVE, C B 8134, SAINT LOUIS, MO 631101010 (Tel: 3142861700)

👤
Provider Name / Credentials Updated November 14, 2016

Recorded as PATRICK LUSTMAN, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Psychologist (License #01053 in MO)

🟢
Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821046012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: January 24, 2017
Sole Proprietor: No

Mailing Address

660 S Euclid Ave, C B 8134

Saint Louis, MO 631101010

Phone: 3142861700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.