NEUROPSYCHOLOGY OF ST. LOUIS, LLC (NPI# 1558682534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558682534 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGY OF ST. LOUIS, LLC |
| Practice Address |
9890 Clayton Rd Suite 136 Saint Louis MO 63124-1685 |
| Practice Telephone | 3142225872 |
| Mailing Telephone | 3142225872 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | DR. JENNIFER R MATHEWS (SOLE MBR) |
| Authorized Official Telephone | 3147574969 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2009015463 | MO | Behavioral Health & Social Service Providers |
| Street Address |
9890 CLAYTON RD SUITE 136 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539173 | Complete Eye Care, Inc. | Ophthalmology | 9890 Clayton Rd, Suite 200, Saint Louis, MO 63124-1685 | 2005-06-24 |
| 1477172203 | Julia Anne Katzman | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2020-04-12 |
| 1740840883 | Shelby Banach | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2019-06-20 |
| 1932609302 | Hayley Lynn Summe | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2018-02-12 |
| 1427577733 | Tina Villalobos | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2017-09-18 |
| 1568993137 | Madeline Goodwill | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2017-03-24 |
| 1861943953 | Clayton Behavioral | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2016-10-24 |
| 1700336294 | Clayton Behavioral | Student in an Organized Health Care Education/Training Program | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2016-10-07 |
| 1992155923 | Paul Duy Luong | Optometrist | 9890 Clayton Rd, Suite 200, Saint Louis, MO 63124-1685 | 2016-06-21 |
| 1992155006 | St. Louis Therapeutic Alliance LLC | Community/Behavioral Health | 9890 Clayton Rd, Suite 127, Saint Louis, MO 63124-1685 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873159 | Stephanie Ross Potts | Clinical Neuropsychologist | 1027 Bellevue Ave Ste 142, Saint Louis, MO 63117-1851 | 2019-07-18 |
| 1508259003 | Maria Catherine Rothhaar | Clinical Neuropsychologist | 522 N New Ballas Rd Ste 121, Saint Louis, MO 63141-6820 | 2015-03-09 |
| 1689852253 | Stacey Woodrome | Clinical Neuropsychologist | 3800 Park Ave Fl 2, Saint Louis, MO 63110-2514 | 2008-02-06 |
| 1700802022 | Nicole J Werner | Clinical Neuropsychologist | 4444 Forest Park Ave Fl 2, 2nd Fl, Saint Louis, MO 63108-2212 | 2006-07-14 |
| 1477539237 | Rehab Care Group East Inc | Clinical Neuropsychologist | 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 | 2005-12-22 |
| 1366910572 | Evan Ti Schulze | Clinical Neuropsychologist | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2018-11-06 |
| 1912374398 | Victoria Herberger | Clinical Neuropsychologist | 615 S New Ballas Rd, Mercy Neuropsychology Service, Saint Louis, MO 63141-8221 | 2015-09-01 |
| 1013317700 | Christopher Bosworth | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3n-14, Saint Louis, MO 63110-1002 | 2014-08-29 |
| 1871929687 | Gabriel Araujo | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3 South 32, Saint Louis, MO 63110-1002 | 2013-09-25 |
| 1861771206 | Phillip D. Ruppert | Clinical Neuropsychologist | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2011-08-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
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| 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.