MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC – NPI #1053674630
Pediatrics

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Health Care Provider Taxonomy Code for Pediatrics

MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1053674630 to MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC on June 19, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0008X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neurodevelopmental Disabilities

The NPI profile was last updated on Apr 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC below.

NPI Profile for
MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC

NPI Number
1053674630
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC
Primary location
641 N NEW BALLAS RD
SAINT LOUIS, MO 63141-6713
Phone: (314) 872-3345 Fax: (314) 872-3180
Mailing address
Same as primary location
Organization Subpart
Yes - MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC is subpart of another organization.
Authorized Official
KERRY DUNGER
EXECUTIVE DIRECTOR - FINANCE
Phone: (314) 364-3707
Updated
Certification Date
Apr 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0008X
- Pediatrics / Neurodevelopmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.