McKenna Cathleen Bellamy, M.A. CCC-A
Individual provider Active NPI Audiologist · Saint Louis, MO
NPI 1669752689 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1669752689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 110003 (MO)
- Practice address
- 9835 Manchester Rd
Center for Hearing-Speech
Saint Louis, MO 63119-1243 - Phone
- (314) 968-4710
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Hearing and Speech
Practice addresses (Care Compare)
9835 Manchester Rd
Saint Louis, MO 63119-1243
Phone (314) 968-4710
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160818001041 | MO | Practitioner - Qualified Audiologist | 7618262445 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110003 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinia Healthcare | Current |
Accepting new patients | |
| Easter Seals Midwest | Audiologist | Past |
Accepting new patients |
Locations
1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 110003 | MO | Yes |
Addresses
Primary practice location
9835 Manchester Rd
Center for Hearing-Speech
Saint Louis, MO 63119-1243
Mailing address
9835 Manchester Rd
Center for Hearing-Speech
Saint Louis, MO 63119-1243
Phone (314) 968-4710
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.