JENNIFER GANDOLFO


Address: 710 Abbottsford Ct., Lake St. Louis, MO 63367
Phone: 3144790306

JENNIFER GANDOLFO (NPI# 1710349642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710349642
Entity Type Organization
Organization Name JENNIFER GANDOLFO
Practice Address 710 Abbottsford Ct.
Lake St. Louis
MO 63367
Practice Telephone 3144790306
Mailing Telephone 3144790306
Enumeration Date 2016-03-21
Last Update Date 2016-03-21
Authorized Official Name MRS. JENNIFER M GANDOLFO (OCCUPATIONAL THERAPIST)
Authorized Official Telephone 3144408985
Authorized Official Credential OTR/L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 252Y00000X Early Intervention Provider Agency Agencies

Office Location

Street Address 710 ABBOTTSFORD CT.
City LAKE ST. LOUIS
State MO
Zip Code 63367

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295376697 Stacy Brown Counselor 1216 Flagstone Terrace, Lake St. Louis, MO 63367 2019-10-07
1083172449 Katie D Schmidt Nurse Practitioner 300 Medical Plz Ste 150, Lake St Louis, MO 63367 2019-03-05
1932639739 Eren Taylor-scaggs Social Worker 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 2017-06-14
1184169203 Be The Change Counseling Services Community/Behavioral Health 206 Centre On The Lake, Lake St. Louis, MO 63367 2016-12-28
1568812535 Brittanie Weinhaus Family Medicine 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 2016-06-20
1821445099 Matt Beamer Skilled Nursing Facility 2885 Technology Drive, Lake St. Louis, MO 63367 2016-05-18
1760862361 Joaquin Francisco Sumaya Chiropractor 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 2015-06-09
1619214566 Daniel Scott Terry Counselor 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 2013-01-12
1437415551 Cherie Jean Coletta Nurse Practitioner 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 2012-04-03
1144515602 Melissa Jean Milford Occupational Therapist 100 Medical Plaza Drive, Attn: Physical Therapy, Lake St. Louis, MO 63367 2011-06-13
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Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194258467 Blue Stars Therapy, LLC Early Intervention Provider Agency 1101 Edward Ter Apt A, Saint Louis, MO 63117-1520 2017-04-04
1710348941 Emmanuel Family & Child Development Center and Emergency Shelter for C Early Intervention Provider Agency 2416 Swope Pkwy, Kansas City, MO 64130-2639 2016-03-16
1356758494 Wonderfully Made Pediatrics Early Intervention Provider Agency 1215 Dornewood Pl, Ballwin, MO 63021-6879 2014-07-21
1659792075 Aspire Therapy LLC Early Intervention Provider Agency 1278 Nw Vivion Rd, Kansas City, MO 64118-4551 2014-01-02
1043649668 Cathlin Hayes Early Intervention Provider Agency 430 Briar Crest Dr, Jackson, MO 63755-1175 2013-11-04
1437412368 First Steps Early Intervention Provider Agency 8 Amazon Dr, Columbia, MO 65202-6220 2012-06-15
1427352640 Central Missouri Community Action Early Intervention Provider Agency 807 N Providence Rd, Ste. B, Columbia, MO 65203-4359 2011-01-03
1609198043 Turning Point, Inc Early Intervention Provider Agency 3403 N Belton Ave, Riverside, MO 64150-9502 2010-02-26
1952623795 Progressive Rehab Solutions LLC Early Intervention Provider Agency 1310 Harting Dr, Florissant, MO 63031-1970 2010-02-22
1669604203 Sally Marie Crumb Early Intervention Provider Agency 14360 County Road 408, Amazonia, MO 64421-8119 2009-08-16
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Competitor

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City LAKE ST. LOUIS
Zip Code 63367

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Dataset Information

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.

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