DR. MATTHEW DOUGLAS KLIETHERMES (NPI# 1255489902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255489902 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DOUGLAS KLIETHERMES |
| Credential | PH.D. |
| Practice Address |
1 University Blvd Weinman Bldg-upper Level Saint Louis MO 63121-4400 |
| Mailing Address |
12112 Jeannette Mary Dr Maryland Heights MO 63043-4221 |
| Practice Telephone | 3145167231 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2004024732 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417303363 | Matthew Kliethermes | Student in an Organized Health Care Education/Training Program | Texas Tech Univ Health Sciences Ctr, 3601 4th Street, Lubbock, TX 79430-0001 | 2016-05-10 |
| Street Address |
1 UNIVERSITY BLVD WEINMAN BLDG-UPPER LEVEL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63121-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344840 | Raymond I Myers | Optometrist | 1 University Blvd, Saint Louis, MO 63121-4400 | 2005-05-27 |
| 1245856665 | Tosha Pearson | Counselor | 1 University Blvd, Saint Louis, MO 63121-4400 | 2020-06-22 |
| 1295136893 | Angelo Bongiorno | Specialist/Technologist | 1 University Blvd, Saint Louis, MO 63121-4400 | 2014-09-15 |
| 1407271950 | Breah France-hughbanks | Psychologist | 1 University Blvd, 232 Stadler Hall, Saint Louis, MO 63121-4400 | 2014-02-20 |
| 1083045249 | Stacy Golman | Psychologist | 1 University Blvd, University of Missouri - St. Louis, Saint Louis, MO 63121-4400 | 2013-12-12 |
| 1215367834 | Jason Murphy | Psychologist | 1 University Blvd, University of Missouri - Saint Louis, Saint Louis, MO 63121-4400 | 2013-11-18 |
| 1083044879 | Sarah Jackson | Nurse Practitioner | 1 University Blvd, 131 Millenium Student Center, Saint Louis, MO 63121-4400 | 2013-11-15 |
| 1881948545 | Victor Villarreal | Psychologist | 1 University Blvd, 232 Stadler Hall, Saint Louis, MO 63121-4400 | 2012-11-02 |
| 1639446685 | Joshua Warren Vinocour | Psychologist | 1 University Blvd, University of Missouri - Saint Louis, Saint Louis, MO 63121-4400 | 2011-11-18 |
| 1184900516 | Professional Athletic Rehabilitation, LLC | Specialist/Technologist | 1 University Blvd, 225 Mark Twain Building, Saint Louis, MO 63121-4400 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511692 | Heal 4 Rtg Home Health Care Cds, LLC | Home Health | 7129 Woodrow Ave, St Louis, MO 63121 | 2020-09-01 |
| 1689215725 | Bessia Mae Walker | Technician | 8909 Weldon Avenue, Apt 115, St. Louis, MO 63121 | 2019-09-30 |
| 1790263218 | Relda Denise Owens-mathews | Social Worker | 7855 Natural Bridge Rd, Saint Louis, MO 63121 | 2018-08-06 |
| 1215421334 | Speak Wonders, LLC | Speech-Language Pathologist | 7432 Marillac Dr, Saint Louis, MO 63121 | 2018-06-21 |
| 1306370937 | Another Helping Hand Home Healthcare, LLC | Home Health | 23 North Oaks Plaza Suite 228, Saint Louis, MO 63121 | 2017-04-20 |
| 1295105054 | Youthful You Adult Daycare LLC | Clinic/Center | 6363 Natural Bridge, Pinelawn, MO 63121 | 2015-10-05 |
| 1982029880 | Deborah Marie Jeffery | Nurse Practitioner | 7626 Natural Bridge Road, St Louis, MO 63121 | 2014-02-28 |
| 1356626832 | Ala Allozi | Pharmacist | 7199 Natural Bridge Dr, Saint Louis, MO 63121 | 2011-10-17 |
| 1659541274 | Express Home Care | Counselor | 3641 Oakdale Ave, Saint Louis, MO 63121 | 2008-03-11 |
| 1053525048 | Angel's Care Inc | Homemaker | 23 N. Oaks Plaza, Suite 245, St. Louis, MO 63121 | 2007-05-09 |
| Find all providers in zip 63121 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396907226 | Michael J Thomas Jr. | Psychologist | 8901 Mayfield Ct, Saint Louis, MO 63136-5016 | 2008-07-01 |
| 1841201696 | Kristine V Eickhoff | Psychologist | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2006-08-10 |
| 1386651982 | James Tilden Hurley | Psychologist | 11140 S Towne Sq, Suite 205, Saint Louis, MO 63123-7830 | 2006-08-03 |
| 1760840367 | Allison Burke | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2016-02-10 |
| 1114396330 | Michael S Gaffrey | Psychologist | 4444 Forest Park Ave Ste 2600, Ste 2600, Saint Louis, MO 63108-2212 | 2015-09-17 |
| 1295027704 | Neha Navsaria Kirtane | Psychologist | 4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212 | 2011-05-03 |
| 1801122171 | Christine Curtis | Psychologist | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-10-21 |
| 1104029727 | Christine Marie Rankin | Psychologist | 11709 Old Ballas Road, Ste 103, Saint Louis, MO 63141-7029 | 2007-06-10 |
| 1891833422 | Family Resource Center | Psychologist | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2007-02-03 |
| 1497816284 | Karen A. Jacobi | Psychologist | 970 Executive Parkway Dr, St. John's Family Therapy, Saint Louis, MO 63141-6302 | 2006-12-13 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63121 |
Please comment or provide details below to improve the information on DR. MATTHEW DOUGLAS KLIETHERMES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.