ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC
NPI 1720576663
Clinical Neuropsychologist in Creve Coeur, MO

NPI Status: Active since April 26, 2018

Contact Information

522 N NEW BALLAS RD STE 201
CREVE COEUR, MO
ZIP 63141
Phone: (314) 833-4210
Fax: (314) 833-4212

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  • Organization
  • Clinical Neuropsychologist
  • Accepts Insurance

About ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC

This page provides the complete NPI Profile along with additional information for St. Louis Center For Cognitive Health, Llc, a provider established in Creve Coeur, Missouri operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1720576663 assigned on April 2018. The practitioner's primary taxonomy code is 103G00000X with license number 2017002021 (MO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Andrew Roberts Reilly Menatti Ph.d. (Director)

NPI
1720576663
Provider Name
ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC
Entity Type
Organization
Location Address
522 N NEW BALLAS RD STE 201 CREVE COEUR, MO 63141
Location Phone
(314) 833-4210
Location Fax
(314) 833-4212
Mailing Address
522 N NEW BALLAS RD STE 201 CREVE COEUR, MO 63141
Mailing Phone
(314) 833-4210
Mailing Fax
(314) 833-4212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2018
Last Update Date
12-12-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
2017002021
License State
MO
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

2017002021 (MO)
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

2017002021 (MO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Catastrophic - EPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Standard - EPO
  • Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Bronze Premier - EPO
  • Medica with MU Health Care Catastrophic - EPO
  • Medica with MU Health Care Expanded Bronze Standard - EPO
  • Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Gold Share - EPO
  • Medica with MU Health Care Gold Standard - EPO
  • Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Silver Share - EPO
  • Medica with MU Health Care Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANDREW ROBERTS REILLY MENATTI PH.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(314) 833-4210

Reviews for ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720576663
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274010712612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 7 + 1 + 2 + 6 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1720576663 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174795470NEW BALLAS OB/GYN, INC
Organization
Obstetrics & Gynecology522 N NEW BALLAS RD STE 201
CREVE COEUR, MO 63141
(314) 569-1223
1982108163DR. ANDREW ROBERTS REILLY MENATTI PH.D.
Individual
Clinical Neuropsychologist522 N NEW BALLAS RD STE 201
CREVE COEUR, MO 63141
(314) 833-4210
1740949072 KAITLIN KEISTER PSYD
Individual
Psychologist (Clinical)522 N NEW BALLAS RD STE 201
CREVE COEUR, MO 63141
(618) 971-5479
1174267660DR. MARY OLSON PHD
Individual
Clinical Neuropsychologist522 N NEW BALLAS RD STE 201
SAINT LOUIS, MO 63141
(314) 833-4210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720576663, enumerated in the NPI registry as an "organization" on April 26, 2018

The provider is located at 522 N New Ballas Rd Ste 201 Creve Coeur, Mo 63141 and the phone number is (314) 833-4210

This medical organization specializes in Clinical Neuropsychologist with taxonomy code 103G00000X

The provider might be accepting Accepts: Aetna CVS Health and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 26, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.