| St. Louis Center For Cognitive Health, Llc | |
|
522 N New Ballas Rd Ste 201 Creve Coeur MO 63141-6819 | |
| (314) 833-4210 | |
| (314) 833-4212 |
| Full Name | St. Louis Center For Cognitive Health, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 522 N New Ballas Rd Ste 201, Creve Coeur, Missouri |
| Authorized Official Name and Position | Andrew Roberts Reilly Menatti (DIRECTOR) |
| Authorized Official Contact | 3148334210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Center For Cognitive Health, Llc 522 N New Ballas Rd Ste 201 Creve Coeur MO 63141-6819 Ph: (314) 833-4210 | St. Louis Center For Cognitive Health, Llc 522 N New Ballas Rd Ste 201 Creve Coeur MO 63141-6819 Ph: (314) 833-4210 |
| NPI Number | 1720576663 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 1456600311 |
|---|---|
| Medicare Enrollment ID | O20180827000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720576663 | NPI | - | NPPES |
| Provider Name | Andrew R Menatti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982108163 PECOS PAC ID: 9335498294 Enrollment ID: I20180827000893 |
| Provider Name | Kaitlin Keister |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740949072 PECOS PAC ID: 6103217997 Enrollment ID: I20220105002482 |
| Provider Name | Mary G Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174267660 PECOS PAC ID: 7012396591 Enrollment ID: I20220614002846 |
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