Gateway Neuropsychology, LLC
Clinical Neuropsychologist in Creve Coeur, MO. Organization (NPI-2).
NPI number1780127449
StatusActive
Last updated in NPPESNov 30, 2016
Details
- NPI
- 1780127449
- Entity type
- Organization (NPI-2)
- Legal business name
- Gateway Neuropsychology, LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2016
- Last updated
- Nov 30, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2011028482 | MO | Yes |
Practice location
989 Gardenview Office PkwyCreve Coeur, MO 63141-5917
Phone 314-591-5564
Mailing address
989 Gardenview Office PkwyCreve Coeur, MO 63141-5917
Phone 314-591-5564
Authorized official
David Kaufman
Director
3145915564
Is something wrong?
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Other Clinical Neuropsychologist providers in Creve Coeur, MO
- Tammy Anne Martielli, PH.D.NPI 1104013689
- Andrew Roberts Reilly Menatti, PH.D.NPI 1982108163
- St. Louis Center For Cognitive Health, LLCNPI 1720576663
- The Neuropsychology Center Of St. LouisNPI 1043814874
All 5 Clinical Neuropsychologist providers in Creve Coeur · All 1,002 providers in Creve Coeur
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