Madeleine Kay Vatterott-Mori, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01400 Issued in MO

Practice address

21 Weldon Spring Heights Dr.
St. Charles, MO 63304-5623

Phone

(636) 395-3460

Fax

(636) 244-3164

NPI assigned

Sep 16, 2011

Last updated

Feb 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susic Psychological Consulting, PCGroup PAC ID 7719952605, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susic Psychological Consulting, PC

  dba Senior Care Psychological Consulting

  • Clinical Psychologist
  • Saint Charles, MO
  • NPI 1871769406
  Medicare reassignment Care Compare group
• David a. Lipsitz, PH.D., Inc

  • Clinical Psychologist
  • Saint Peters, MO
  • NPI 1710294301
  NPD

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1740562651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WELDON SPRING HEIGHTS DR.",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633045623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WELDON SPRING HEIGHTS DR.",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633045623",
            "telephone_number": "636-395-3460",
            "fax_number": "636-244-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTEROTT-MORI",
        "first_name": "MADELEINE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "01400",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01400",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2012029564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen P. Vail
• Jamie Van Dillen, MOTR/L
• Brooke Vandoren
• Abbigail Marie Vanmeter
• Zachary Varble, D.M.D.
• Aislinn Sue Vaughan, MD
• Alexandra C Vaughn
• Elisabeth Vaughn, OTR/L
• Richard F Vaughn, M.D.
• Abbie Marie Velders

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.