NEUROPSYCHOLOGY ASSOCIATES, PC (NPI# 1164973467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164973467 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGY ASSOCIATES, PC |
| Practice Address |
1515 E Missouri Ave Ste 110 Phoenix AZ 85014-2443 |
| Practice Telephone | 6022308325 |
| Practice Fax Number | 6022747402 |
| Mailing Telephone | 6022308325 |
| Mailing Fax Number | 6022747402 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | HAROLD D BLACKWOOD (PRESIDENT) |
| Authorized Official Telephone | 6022308325 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0689 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1515 E MISSOURI AVE STE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1750862264 | Focus Neuropsychology Az, Pllc | Clinical Neuropsychologist | 2400 N Central Ave Ste 204, Phoenix, AZ 85004-1341 | 2018-08-22 |
| 1386172732 | Brett Andersen | Clinical Neuropsychologist | 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013-3421 | 2017-05-30 |
| 1437524733 | Pinnacle Center, Inc. | Clinical Neuropsychologist | 4423 N 24th St, Phoenix, AZ 85016-5544 | 2015-12-11 |
| 1275969867 | Kiran Amin | Clinical Neuropsychologist | 720 E Peoria Ave, Phoenix, AZ 85020-1575 | 2013-09-16 |
| 1164864161 | Surabhi Yeshwant Patwardhan | Clinical Neuropsychologist | 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112 | 2013-07-19 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1295007557 | Robin C Ford | Clinical Neuropsychologist | 4144 N 44th St Ste E, Phoenix, AZ 85018-4260 | 2012-02-02 |
| 1699954800 | Barbara M Maxwell, Phd, Plc | Clinical Neuropsychologist | 11001 N 7th St, 1183, Phoenix, AZ 85020-1142 | 2007-10-24 |
| 1861687360 | Mary Lu Bushnell | Clinical Neuropsychologist | 650 E Indian School Rd # 116b, Phoenix, AZ 85012-1839 | 2007-09-09 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.