STL Gateway Health Care LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STL GATEWAY HEALTH CARE LLC

Doing business as

STL Gateway Health Care LLC

Practice address

7428 Ethel Ave
Saint Louis, MO 63117-1608

Phone

(314) 799-2750

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

William Clendenin, MDNPI 1083791875

Title

President

Phone

(314) 799-2750

Specialties & licenses 1

Addresses

Other names 1

• STL Gateway Health Care LLC Doing business as

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.

• William Wright Clendenin, MD

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1083791875
  Authorized official Same address or phone

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1457071193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 ETHEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 ETHEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171608",
            "telephone_number": "314-799-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STL GATEWAY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-799-2750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STL Gateway Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• STL Bariatrics LP (St Louis Bariatrics)
• STL Caregivers LLC
• STL Dental Group LLC
• STL Diagnostic LLC
• STL Family Dentistry Inc. (Drs. Waxman and Pfeffer)
• STL HHC LLC (Accessible Home Health Care of St. Louis)
• STL Mid County Dental LLC
• STL Physical Therapy
• STL Plastic and Hand Surgery, Inc.
• STL Premier Home Physical Therapy LLC (STL Premier Home PT)

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.