ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC


Address: 7711 Bonhomme Ave Ste 350, Clayton, MO 63105
Phone: 3148334210

ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC (NPI# 1720576663) 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) 1720576663
Entity Type Organization
Organization Name ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC
Practice Address 7711 Bonhomme Ave Ste 350
Clayton
MO 63105
Mailing Address 7711 Bonhomme Ave Ste 350
Clayton
MO 63105-1958
Practice Telephone 3148334210
Practice Fax Number 3148334212
Mailing Telephone 3148334210
Mailing Fax Number 3148334212
Enumeration Date 2018-04-26
Last Update Date 2018-11-13
Authorized Official Name DR. ANDREW ROBERTS REILLY MENATTI (DIRECTOR)
Authorized Official Telephone 3148334210
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
2017002021 MO Ambulatory Health Care Facilities
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
2017002021 MO Ambulatory Health Care Facilities
Y 103G00000X Clinical Neuropsychologist 2017002021 MO Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
509 Hamacher St Ste 202, Waterloo, IL 622981592 3148334210 3148334212

Office Location

Street Address 7711 BONHOMME AVE STE 350
City CLAYTON
State MO
Zip Code 63105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861016545 Amy Piontek Registered Nurse Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 2020-05-29
1427520634 Justin Kelly Chiropractor 8011 Maryland Avenue, St. Louis, MO 63105 2018-12-28
1457849317 A Storied Life Counseling LLC Social Worker 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 2018-04-26
1669984142 Peter Bogart Counselor 7710 Carondelet, Suite #204, Saint Louis, MO 63105 2017-10-24
1356891162 Medical West Respiratory Pharmacy, LLC Pharmacy 440 South Brentwood Blvd, Clayton, MO 63105 2016-10-05
1710435565 James Breihan Occupational Therapist 401 Corporate Park Drive, Clayton, MO 63105 2016-09-21
1730566928 Frank Theus Counselor 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 2015-04-27
1962895896 John B Martin Obstetrics & Gynecology 312 N. Meramec #300, St. Louis, MO 63105 2015-03-17
1861814261 Jesse Marie Civello Physical Therapist 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 2014-01-20
1528325529 Lin Hao Internal Medicine 7571 Wellington Way Apt 2a, Clayton, MO 63105 2012-04-13
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275642464 William Franklin Mcdaniel Clinical Neuropsychologist 172 South Main Street, Suite 2, Clayton, GA 30525-4267 2006-08-30
1982108163 Andrew Roberts Reilly Menatti Clinical Neuropsychologist 7711 Bonhomme Ave, Ste 350, Clayton, MO 63105-1958 2018-03-21
1841322153 Herbert Goldman Clinical Neuropsychologist 8021 Kingsbury Blvd, Clayton, MO 63105-3715 2007-03-12

Providers in the same taxonomy and state

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
1659551406 Wright & Wright, Phd, LLC Clinical Neuropsychologist 16141 Swingley Ridge Rd, Suite 106, Chesterfield, MO 63017-1774 2007-11-09
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Competitor

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City CLAYTON
Zip Code 63105

Improve Information

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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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