Nicole Werner Consulting LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NICOLE WERNER CONSULTING LLC

Practice address

12747 Olive Blvd Ste 300
Saint Louis, MO 63141-6269

Phone

(314) 922-3871

Fax

(314) 529-3537

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Nicole J Werner, PH.D.NPI 1700802022

Title

Neuropsychologist

Phone

(314) 922-3871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole J Werner, PHD

  • Clinical Neuropsychologist
  • Saint Louis, MO
  • NPI 1700802022
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1619692431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FENTON PLZ UNIT 60",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630269993",
            "telephone_number": "314-922-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12747 OLIVE BLVD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416269",
            "telephone_number": "314-922-3871",
            "fax_number": "314-529-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE WERNER CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "314-922-3871",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Ellen Nicol, MD
• Daemeon Achilles Nicolaou, MD
• Ramzi Toufic Nicolas, MD
• Rowna Marguerite Nicolas, LCSW
• Sarah Nicolay
• Elizabeth J Nicolli, RN, CPNP
• Joshua Nicoloff
• Michele Nicosia, BSPT, MSM
• Dante James Nicotera, MD
• David M Niebruegge, MD

• Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.