DR. TAMMY ANNE MARTIELLI PH.D.
NPI 1104013689
Clinical Neuropsychologist in Creve Coeur, MO

Q: What is Tammy Martielli's NPI number?

The NPI number for Tammy Martielli is 1104013689. It was assigned to this individual provider in the NPPES registry on September 28, 2007. The provider is also known as Miss Tammy Anne Mandernach.

Q: What is Tammy Martielli's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Martielli was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since September 28, 2007

425 N NEW BALLAS RD STE 290, CREVE COEUR, MO 63141(314) 324-3800(314) 260-7676 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tammy Anne Martielli Ph.d. NPPES

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

DR. TAMMY ANNE MARTIELLI PH.D. (NPI 1104013689) is an individual clinical neuropsychologist in Creve Coeur, Missouri, licensed in Missouri (2009010486) and active in the NPI registry since September 2007. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1104013689

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. TAMMY ANNE MARTIELLICredential: PH.D.

Location Address425 N NEW BALLAS RD STE 290Creve Coeur, MO 63141-6852

Mailing Address425 N New Ballas Rd Ste 290Creve Coeur, MO 63141-6852 · (314) 324-3800 · Fax (314) 260-7676

Phone(314) 324-3800

Fax(314) 260-7676

Sole ProprietorNo

Enumeration DateSeptember 28, 2007

Last NPPES UpdateJune 30, 2020

NPPES CertifiedJune 30, 2020

✔ NPI 1104013689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MO · 2009010486

Definition

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2009010486 (MO)

425 N NEW BALLAS RD STE 290, Creve Coeur, MO 63141

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Other Names 1

Former Name (1)Miss Tammy Anne Mandernach

Secondary Practice Location 1

Location 14542 W Pine BlvdSaint Louis, MO 63108-2186 · Phone (314) 324-3800 · Fax (314) 260-7676

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

THE NEUROPSYCHOLOGY CENTER OF ST. LOUIS

Clinical Neuropsychologist

425 N NEW BALLAS RD STE 290
CREVE COEUR, MO 63141

St. Louis County (314) 324-3800

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 Tammy Martielli's NPI number?

The NPI number for Tammy Martielli is 1104013689. It was assigned to this individual provider in the NPPES registry on September 28, 2007. The provider is also known as Miss Tammy Anne Mandernach.

Where is Tammy Martielli located?

Tammy Martielli practices at 425 N New Ballas Rd Ste 290, Creve Coeur, MO 63141. The listed phone number is (314) 324-3800.

What is Tammy Martielli's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

What insurance does Tammy Martielli accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Tammy Martielli 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 Tammy Martielli was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.