Individual
DR. CHERYL L. NIETFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12166 OLD BIG BEND RD, SUITE 100, KIRKWOOD, MO 63122-6844
(314) 909-0211
(314) 909-0323
Mailing address
12166 OLD BIG BEND RD, SUITE 100, KIRKWOOD, MO 63122-6844
(314) 909-0211
(314) 909-0323
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
R0218
MO
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
R0218
MO
103TC1900X
Counseling Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
R0218
MO
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251558
VALUE OPTIONS ID
MO
01
—
43098515915
CMR
MO
01
—
433774
HEALTHLINK
MO
01
—
487V3
BLUE CROSS BLUE SHIELD
MO
01
—
6111080
UNITED BEHAVIORAL HEALTH
MO
Enumeration date
11/03/2005
Last updated
09/11/2025
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