Active NPI
Andrew M Pomerantz, PH. D.
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1811137110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 01927
- Practice address
- 225 S Meramec Ave
Suite 1029T
Saint Louis, MO 63105-3511 - Phone
- (314) 608-6089
- NPI assigned
- Feb 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01927 | MO | Primary |
Addresses
Primary practice location
225 S Meramec Ave
Suite 1029T
Saint Louis, MO 63105-3511
Mailing address
225 S Meramec Ave
Suite 1029T
Saint Louis, MO 63105-3511
Phone (314) 608-6089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01927 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1811137110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S MERAMEC AVE",
"address_2": "SUITE 1029T",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053511",
"telephone_number": "314-608-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S MERAMEC AVE",
"address_2": "SUITE 1029T",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053511",
"telephone_number": "314-608-6089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANTZ",
"first_name": "ANDREW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "01927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.