SLUCARE DEPT OF PEDIATRIC NEURODEVELOPMENTAL DISABILITIES – NPI #1962614750
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

SLUCARE DEPT OF PEDIATRIC NEURODEVELOPMENTAL DISABILITIES is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1962614750 to SLUCARE DEPT OF PEDIATRIC NEURODEVELOPMENTAL DISABILITIES on May 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SLUCARE DEPT OF PEDIATRIC NEURODEVELOPMENTAL DISABILITIES” is a dba name, the actual legal business name for this organization is ST LOUIS UNIVERSITY. 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 previously updated about 5 years ago on Sep 21, 2021. 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 SLUCARE DEPT OF PEDIATRIC NEURODEVELOPMENTAL DISABILITIES below.

NPI Profile for
ST LOUIS UNIVERSITY

NPI Number
1962614750
Enumeration Date

(more than 19 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
ST LOUIS UNIVERSITY
Doing Business As (dba): SLUCARE DEPT OF PEDIATRIC NEURODEVELOPMENTAL DISABILITIES
Primary location
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone: (314) 577-5600 Fax:
Mailing address
3545 LINDELL BLVD FL 3
SAINT LOUIS, MO 63103-1020
Phone: (314) 977-6828 Fax:
Organization Subpart
No
Authorized Official
ALYCE LANXON
EXECUTIVE DIRECTOR
Phone: (314) 977-6828
Updated
Certification Date
Sep 21, 2021

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.