DR. MICHAEL V OLIVERI (NPI# 1417901885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417901885 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL V OLIVERI |
| Credential | PH.D. |
| Practice Address |
17300 N Outer 40 Rd Suite 203 Chesterfield MO 63005-1364 |
| Practice Telephone | 6365367878 |
| Practice Fax Number | 6365367871 |
| Mailing Telephone | 6365367878 |
| Mailing Fax Number | 6365367871 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | RO299 | MO | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | R0299 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | R96802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215169859 | Michael Joseph Oliveri | Pharmacist | 7329 S Cass Ave, Darien, IL 60561-3660 | 2009-08-16 |
| 1306812052 | Michael P Oliveri | Physician Assistant | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-02-23 |
| Street Address |
17300 N OUTER 40 RD SUITE 203 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63005-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396728002 | Matthew Christian Bayes | Pediatrics | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 | 2005-11-28 |
| 1467073742 | Key Anesthesia Partners | Nurse Anesthetist, Certified Registered | 17300 N Outer 40 Rd, Chesterfield, MO 63005-1375 | 2020-04-28 |
| 1578917126 | Jessica Aschwege | Physical Therapist | 17300 N Outer 40 Rd, Suite 202, Chesterfield, MO 63005-1375 | 2016-04-20 |
| 1659784023 | Natalie Corzine | Behavioral Analyst | 17300 N Outer 40 Rd, Chesterfield, MO 63005-1364 | 2014-06-03 |
| 1891114526 | Michael V Oliveri | Clinical Neuropsychologist | 17300 N Outer 40 Rd, Suite 203, Chesterfield, MO 63005-1364 | 2014-04-09 |
| 1487076485 | Missouri Center for Reproductive Medicine, LLC | Obstetrics & Gynecology | 17300 N Outer 40 Rd, Suite 101, Chesterfield, MO 63005-1364 | 2014-01-09 |
| 1639500192 | Pediatric Neurodevelopmental Center LLC | Pediatrics | 17300 N Outer 40 Rd, Suite 205, Chesterfield, MO 63005-1364 | 2013-12-10 |
| 1821423385 | Excel Orthopedics LLC | Orthopaedic Surgery | 17300 N Outer 40 Rd, Suite 316, Chesterfield, MO 63005-1375 | 2013-09-03 |
| 1285986398 | Bluetail Medical Group, LLC. | Orthopaedic Surgery | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1375 | 2012-10-12 |
| 1427315431 | Michael Joseph Backer | Student in an Organized Health Care Education/Training Program | 17300 N Outer 40 Rd, Suite 103, Chesterfield, MO 63005-1375 | 2012-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
| 1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
| 1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
| 1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| Find all providers in zip 63005 | ||||
| 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 |
|---|---|---|---|---|
| 1659551406 | Wright & Wright, Phd, LLC | Clinical Neuropsychologist | 16141 Swingley Ridge Rd, Suite 106, Chesterfield, MO 63017-1774 | 2007-11-09 |
| 1891114526 | Michael V Oliveri | Clinical Neuropsychologist | 17300 N Outer 40 Rd, Suite 203, Chesterfield, MO 63005-1364 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873159 | Stephanie Ross Potts | Clinical Neuropsychologist | 1027 Bellevue Ave Ste 142, Saint Louis, MO 63117-1851 | 2019-07-18 |
| 1780127449 | Gateway Neuropsychology, LLC | Clinical Neuropsychologist | 989 Gardenview Office Pkwy, Creve Coeur, MO 63141-5917 | 2016-11-29 |
| 1508259003 | Maria Catherine Rothhaar | Clinical Neuropsychologist | 522 N New Ballas Rd Ste 121, Saint Louis, MO 63141-6820 | 2015-03-09 |
| 1578909925 | Sharon Brooks | Clinical Neuropsychologist | 2209 Potomac Dr, Columbia, MO 65203-5886 | 2013-05-13 |
| 1306190913 | Robert L Coffman | Clinical Neuropsychologist | 1245 N Butterfield Rd Ste C1, Bolivar, MO 65613-3017 | 2012-11-05 |
| 1366790941 | Pediatric Neuropsychological Services, LLC | Clinical Neuropsychologist | 175 S. Marshall, Suite G, Rogersville, MO 65742 | 2012-08-29 |
| 1750612925 | Stress Control Center Inc, P C | Clinical Neuropsychologist | 800 W 47th St Ste 514, Kansas City, MO 64112-1247 | 2010-01-27 |
| 1366694937 | Dawn Heather Huber | Clinical Neuropsychologist | 175 S Marshall St, Suite G, Rogersville, MO 65742-8828 | 2008-10-15 |
| 1689852253 | Stacey Woodrome | Clinical Neuropsychologist | 3800 Park Ave Fl 2, Saint Louis, MO 63110-2514 | 2008-02-06 |
| 1104013689 | Tammy Anne Martielli | Clinical Neuropsychologist | 425 N New Ballas Rd Ste 290, Creve Coeur, MO 63141-6852 | 2007-09-28 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63005 |
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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.