St. Louis Center for Neurodiversity, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ST. LOUIS CENTER FOR NEURODIVERSITY, LLC

Practice address

230 Blue Sage Dr
Ballwin, MO 63011-5001

Phone

(314) 669-5021

NPI assigned

Oct 14, 2021

Last updated

Oct 14, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelsie Pixler Pixler

Title

CCC-SLP

Phone

(314) 669-5021

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsie Pixler, SLP

  • Speech-Language Pathologist
  • Chesterfield, MO
  • NPI 1003468026
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1437812724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BLUE SAGE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630115001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BLUE SAGE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630115001",
            "telephone_number": "314-669-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS CENTER FOR NEURODIVERSITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "PIXLER",
        "authorized_official_first_name": "KELSIE PIXLER",
        "authorized_official_title_or_position": "CCC-SLP",
        "authorized_official_telephone_number": "314-669-5021"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.