Dr. Ernest A. Graypel

Dr. Ernest A. Graypel

Ernest A. Graypel, MD, MHA

Dr. Graypel received his medical training in the former Soviet Union. While studying to obtain a medical degree, he worked as a nurse to support his family, and after graduation was employed as Clinical Associate Professor at the Department of Internal Medicine of his medical school, simultaneously pursuing all of his passions: education, clinical practice, and clinical research. He also, concurrently, started his first business venture at that time.

In 1992, Dr. Graypel brought his family to the United States, and again, being a family-oriented man, started his life in United States by stabilizing his family’s situation before establishing himself as a physician. He launched a home health care business which he developed into a profitable company with two offices – in St. Louis and in the rural Missouri area, and soon after that became a a licensed nursing home administrator and an owner and operator of three assisted living facilities. For over a decade, Dr. Graypel successfully managed all of his businesses, being directly involved in all of the aspects of his clients’ care and supervising over 50 of his employees.

Despite a degree of success in his business endeavors, direct clinical work as a physician was a big thing that was missing in Dr. Graypel’s life. As a result, while still managing his businesses, he successfully passed all of the medical license examinations and then completed psychiatry residency training. While preparing for his boards, Dr. Graypel completed Master of Healthcare Administration program and obtained MHA degree.

Since completion of his residency, Dr. Graypel worked as a medical director of behavioral health at St. Anthony’s Hospital in St. Louis, was managing statewide psychiatric services for the Missouri Department of corrections, and is now in private practice – seeing patients in long-term care facilities in his outpatient office, and providing consulting psychiatry work at several hospitals within the St. Louis area. In his outpatient practice, he provides an integrated approach to patient care, strategically using medications and psychotherapies in the treatment of his patients.

Dr. Graypel is a clinical associate professor at A.T. Still University, and until recently was a clinical instructor at Saint Louis University School of Medicine and an adjunct faculty at Harris-Stowe State University. He is a member of the Healthcare Management Advisory Board at Harris-Stowe University, and is a Fellow of the American College of Healthcare Administrators. He authored book “Graypel’s review of Dementias and Adult Cognitive Impairments for non-psychiatrists” which is sold at Amazon and Barnes and Noble in US. In December of 2023 this book was published by Lambert Academic Publishing in Europe.

Dr. Ernest Graypel is a lifetime member of Trademark Top Doctors of America.

Community Long-Term Care Psychiatry TMS

Community and Long-Term Care Psychiatry, LLC


10004 Kennerly Rd
Suite 362B
St. Louis, MO 63128



Missouri Counties:,
South St. Louis,
St. Francois,
St. Genevieve,
Illinois Counties:,
St. Clair

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