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MEDITELECARE OF MISSOURI LLC
NPI 1013416585
Psychologist - Clinical in Saint Louis, MO

Active since February 09, 2018
5661 TELEGRAPH RD STE 4B, SAINT LOUIS, MO 63129(860) 788-6404 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Jul 12, 2019 (3 updates tracked since 2019).

About Meditelecare Of Missouri Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDITELECARE OF MISSOURI LLC (NPI 1013416585) is a healthcare organization registered as a clinical in Saint Louis, Missouri and active in the NPI registry since February 2018. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1013416585
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMEDITELECARE OF MISSOURI LLC
Location Address5661 TELEGRAPH RD STE 4BSaint Louis, MO 63129-4275
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495
Phone(860) 788-6404
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateFebruary 9, 2018
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1013416585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
5661 TELEGRAPH RD STE 4B, Saint Louis, MO 63129
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSTAINABLE PELVIC HEALTH LLC
Clinic/Center (Rehabilitation)
5661 TELEGRAPH RD STE 4B
SAINT LOUIS, MO 63129
St. Louis County (913) 214-9956
TLN PROFESSIONAL SERVICES II, PC
Lactation Consultant, Non-RN
5661 TELEGRAPH RD STE 4B
SAINT LOUIS, MO 63129
St. Louis County (888) 510-0059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meditelecare Of Missouri LLC's NPI number?

The NPI number for Meditelecare Of Missouri LLC is 1013416585. It was assigned to this organization in the NPPES registry on February 9, 2018.

Where is Meditelecare Of Missouri LLC located?

Meditelecare Of Missouri LLC is located at 5661 Telegraph Rd Ste 4B, Saint Louis, MO 63129. The listed phone number is (860) 788-6404.

What is Meditelecare Of Missouri LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Meditelecare Of Missouri LLC accept?

Health plans from Medica list Meditelecare Of Missouri LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meditelecare Of Missouri LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.