Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Neurodevelopmental Center LLC

Organization Pediatrics Physician · NPI 1639500192

Pediatric Neurodevelopmental Center LLC is a Pediatrics Physician in Chesterfield, Missouri. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17300 N Outer 40 Rd Ste 205
Chesterfield, MO 63005-1364
Phone: (636) 778-9212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1639500192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avi Domnitz-Gebet — Authorized Rep/ Owner/ Md · (636) 778-9212
NPI enumeratedDecember 10, 2013
Last updated in NPPESDecember 10, 2013
Mailing address17300 N Outer 40 Rd, Suite 205, Chesterfield, MO 63005-1364

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