Individual provider Active NPI

Andrew Roberts Reilly Menatti, PH.D.

  • Clinical Neuropsychologist
  • Creve Coeur, MO
National Provider Identifier
1982108163
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2017002021 Issued in MO
Practice address
522 N New Ballas Rd Ste 201
Creve Coeur, MO 63141-6819
Phone
(314) 833-4210
Fax
(314) 833-4212
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X 2017002021 MO
Clinical Psychologist 103TC0700X 2017002021 MO
Clinical Neuropsychologist 103G00000X 2017002021 MO Primary
Health Service Psychologist 103TH0100X 2017002021 MO

Addresses

Primary practice location

522 N New Ballas Rd Ste 201
Creve Coeur, MO 63141-6819

Mailing address

522 N New Ballas Rd Ste 201
Creve Coeur, MO 63141-6819
Phone (314) 833-4210

Other practice location 1

11477 Olde Cabin Rd Ste 205
Creve Coeur, MO 63141-7130
Phone (314) 833-4210

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180827000893 MO Practitioner - Clinical Psychologist 9335498294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Louis Center for Cognitive Health LLCGroup PAC ID 1456600311, 2 clinicians

Practice addresses (Care Compare)

522 N New Ballas Rd
Suite 201
Creve Coeur, MO 63141-6819
Phone (314) 833-4210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2017002021MOMDRehabilitation Psychologist

Interoperability endpoints

  • Direct secure messaging: andrew.menatti.1@20107.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1982108163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416819",
            "telephone_number": "314-833-4210",
            "fax_number": "314-833-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416819",
            "telephone_number": "314-833-4210",
            "fax_number": "314-833-4212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11477 Olde Cabin Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417130",
            "country_code": "US",
            "telephone_number": "314-833-4210",
            "fax_number": "314-833-4212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENATTI",
        "first_name": "ANDREW",
        "middle_name": "ROBERTS REILLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MO",
            "license": "2017002021",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2017002021",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "2017002021",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MO",
            "license": "2017002021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.