Monte Nido Missouri, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MONTE NIDO MISSOURI, LLC

Doing business as

Clementine St. Louis

Practice address

7190 Christopher Dr
Saint Louis, MO 63129-5514

Phone

(305) 663-1876

NPI assigned

Apr 27, 2022

Last updated

Sep 2, 2026By 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

Mr. Jason Schulz

Title

Chief Financial Officer

Phone

(305) 663-1876

Specialties & licenses 2

Addresses

Other names 1

• Clementine St. Louis 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.

• Pravesh P Deotale, M.D

  • Child & Adolescent Psychiatry Physician
  • Festus, MO
  • NPI 1710275110
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1770227407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 76TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435002",
            "telephone_number": "305-663-1876",
            "fax_number": "786-359-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 CHRISTOPHER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631295514",
            "telephone_number": "305-663-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE NIDO MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "305-663-1876",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clementine St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia L Montana, MD
• Michael Christopher Montana, MD
• Bryce Edward Montane, MD
• Julian Benigno Montano, M.D.
• Nycole Montano, MS CCC-SLP
• Amanda Monteleone, P.A.
• Maria Luiza Montenegro Seleguim, MD
• Grace A Montenegro, M.D.
• Nicholas Michael Montero, PHARMD.
• Fred Roanld Monterubio Jr., M.D.

• Mental Illness Community Based Residential Treatment Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Illness Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.