Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOWARD JAY ILIVICKY, M.D.
ActiveHOWARD JAY ILIVICKY, M.D. is a Psychiatry healthcare provider located in SAINT CHARLES, Missouri. NPI 1093711152 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · SAINT CHARLES, MO
Registration Details
- NPI Number
- 1093711152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2005 (21.106920906953 yrs)
- Last Updated
- Apr 8, 2025
- Licenses
-
118786 (MO)MD61660624 (WA)
Practice Information
- Address
-
330 1ST CAPITOL DRSTE 390SAINT CHARLES, MO, 633012852Browse MO providers · Browse ZIP 63301
- Phone
- 6369495760
- Fax
- 6369490729
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in SAINT CHARLES, MO
| Name | Credential | NPI |
|---|---|---|
| RICHARD HOWARD ANDERSON | M.D., PHD | 1700882859 |
| GREGORY WARREN MATTINGLY | M.D. | 1215933379 |
| DR. KANIKA RAVI RAMCHANDANI | MBBS, MD | 1235791260 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.