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PEDIATRIC NEURODEVELOPMENTAL CENTER LLC
NPI 1639500192
Pediatrics in Chesterfield, MO

Active since December 10, 2013
17300 N OUTER 40 RD, SUITE 205, CHESTERFIELD, MO 63005(636) 778-9212 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Neurodevelopmental Center Llc NPPES

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

PEDIATRIC NEURODEVELOPMENTAL CENTER LLC (NPI 1639500192) is a healthcare organization registered as a pediatrics in Chesterfield, Missouri and active in the NPI registry since December 2013. The organization lists Avi E. Domnitz-gebet, Authorized Rep/ Owner/ Md, as its authorized official.

NPPES Registry Identity

NPI1639500192
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC NEURODEVELOPMENTAL CENTER LLC
Location Address17300 N OUTER 40 RD, SUITE 205Chesterfield, MO 63005-1364
Mailing Address17300 N Outer 40 Rd, Suite 205Chesterfield, MO 63005-1364 · (636) 778-9212
Phone(636) 778-9212
Organization SubpartNo
Authorized OfficialAvi E. Domnitz-gebetAuthorized Rep/ Owner/ Md · (636) 778-9212
Enumeration DateDecember 10, 2013
✔ NPI 1639500192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17300 N OUTER 40 RD, Chesterfield, MO 63005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

LAURA ANN EDMUNDSON MPT
Physical Therapist
17300 N OUTER 40 RD, SUITE 202
CHESTERFIELD, MO 63005
St. Louis County (636) 728-1777
ERIN BERKOW SELTZER M.A.
Counselor
17300 N OUTER 40 RD, SUITE 212
CHESTERFIELD, MO 63005
St. Louis County (636) 532-8333
ST LOUIS COSMETIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
17300 N OUTER 40 RD, SUITE 300
CHESTERFIELD, MO 63005
St. Louis County (636) 530-6161
KEY ANESTHESIA PARTNERS
Nurse Anesthetist, Certified Registered
17300 N OUTER 40 RD
CHESTERFIELD, MO 63005
St. Louis County (573) 686-5550
MISSOURI CENTER FOR REPRODUCTIVE MEDICINE, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
17300 N OUTER 40 RD, SUITE 101
CHESTERFIELD, MO 63005
St. Louis County (573) 442-1886
JESSICA ASCHWEGE PT
Physical Therapist
17300 N OUTER 40 RD, SUITE 202
CHESTERFIELD, MO 63005
St. Louis County (636) 728-1777
NATALIE CORZINE M.S., BCBA
Behavior Analyst
17300 N OUTER 40 RD
CHESTERFIELD, MO 63005
St. Louis County (636) 778-9212
DREAMY TIME INC
Nurse Anesthetist, Certified Registered
17300 N OUTER 40 RD
CHESTERFIELD, MO 63005
St. Louis County (573) 686-5550

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 Pediatric Neurodevelopmental Center LLC's NPI number?

The NPI number for Pediatric Neurodevelopmental Center LLC is 1639500192. It was assigned to this organization in the NPPES registry on December 10, 2013.

Where is Pediatric Neurodevelopmental Center LLC located?

Pediatric Neurodevelopmental Center LLC is located at 17300 N Outer 40 Rd Suite 205, Chesterfield, MO 63005. The listed phone number is (636) 778-9212.

What is Pediatric Neurodevelopmental Center LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pediatric Neurodevelopmental Center LLC was last updated on December 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.