Pediatric Neurodevelopmental Center LLC
NPI 1639500192 · Pediatrics Physician · Chesterfield, MO
Pediatric Neurodevelopmental Center LLC is a Pediatrics Physician organization in Chesterfield, MO (NPI 1639500192).
Provider details
- NPI number
- 1639500192
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Avi Domnitz-Gebet, Authorized Rep/ Owner/ MD(636) 778-9212
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-12-10
- Last updated
- 2013-12-10
Frequently asked questions
- What is Pediatric Neurodevelopmental Center LLC's NPI number?
- Pediatric Neurodevelopmental Center LLC's National Provider Identifier (NPI) is 1639500192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Neurodevelopmental Center LLC?
- Pediatric Neurodevelopmental Center LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Neurodevelopmental Center LLC located?
- Pediatric Neurodevelopmental Center LLC's practice location on file with NPPES is 17300 N Outer 40 Rd, Chesterfield, MO 63005-1364.
- What is Pediatric Neurodevelopmental Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Neurodevelopmental Center LLC is (636) 778-9212.
- Who is the authorized official for Pediatric Neurodevelopmental Center LLC?
- The authorized official listed on Pediatric Neurodevelopmental Center LLC's NPPES record is Avi Domnitz-Gebet, Authorized Rep/ Owner/ MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Neurodevelopmental Center LLC's NPI active?
- Yes — Pediatric Neurodevelopmental Center LLC's NPI (1639500192) is active in the NPPES registry as of the last update on 2013-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.