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Pediatric Neurodevelopmental Center LLC

Pediatrics Physician in Chesterfield, MO · enumerated 2013 · authorized official Avi Domnitz-Gebet, Authorized Rep/ Owner/ MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639500192

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Neurodevelopmental Center LLC
Practice address 17300 N Outer 40 Rd, Suite 205, Chesterfield, MO, 63005
Phone (636) 778-9212
Enumeration date Dec 10, 2013
Last updated in NPPES Dec 10, 2013

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Avi Domnitz-Gebet
Title Authorized Rep/ Owner/ MD
Phone (636) 778-9212

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pediatric Neurodevelopmental Center LLC?
The NPI for Pediatric Neurodevelopmental Center LLC is 1639500192, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric Neurodevelopmental Center LLC?
NPPES lists Avi Domnitz-Gebet (Authorized Rep/ Owner/ MD) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-10.