NORTHEAST NEUROPSYCHOLOGY LLC (NPI# 1386842359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386842359 |
| Entity Type | Organization |
| Organization Name | NORTHEAST NEUROPSYCHOLOGY LLC |
| Practice Address |
1111 Street Rd Suite 312 Southampton PA 18966-4250 |
| Practice Telephone | 2153559070 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | DR. ERIC MARC UMILE (OWNER) |
| Authorized Official Telephone | 2153559070 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS009296L | PA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | PS009296L | PA | Behavioral Health & Social Service Providers |
| Street Address |
1111 STREET RD SUITE 312 |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013926583 | Southampton Psychiatric Associates PC | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-05 |
| 1417314758 | Deborah Meyrowitz Weiss LLC | Psychologist | 1111 Street Rd, Suite 101, Southampton, PA 18966-4250 | 2016-01-18 |
| 1447402169 | Rebecca Jayne Tarbert | Physical Therapist | 1111 Street Rd, Suite104, Southampton, PA 18966-4250 | 2008-10-13 |
| 1902089683 | Suzanne Marie Devine | Counselor | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2007-12-17 |
| 1134258049 | Paige M Novick-kline | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2007-03-05 |
| 1073665543 | Nicole Donnelly | Physical Therapist | 1111 Street Rd, Southampton, PA 18966-4250 | 2007-01-17 |
| 1063563831 | Michele Mancinelli | Physical Therapist | 1111 Street Rd, Suite 104, Southampton, PA 18966-4250 | 2007-01-16 |
| 1497866164 | Razvan S Tornea | Psychiatry & Neurology | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-31 |
| 1831203579 | Christina Fantauzzo | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-19 |
| 1669586236 | Kathleen Schramm | Psychiatry & Neurology | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| 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 |
|---|---|---|---|---|
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1821617804 | Fit-minded, LLC | Clinical Neuropsychologist | 101 Forrest Ave, Narberth, PA 19072-2213 | 2020-04-10 |
| 1982238887 | Jesse Matthew Main | Clinical Neuropsychologist | 2150 Harrisburg Pike Fl 2, Lancaster, PA 17601-2644 | 2020-02-28 |
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1972155380 | Community Diagnostic Center for Children | Clinical Neuropsychologist | 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 | 2019-07-15 |
| 1164995023 | Mindful Neuropsychological Services, PC | Clinical Neuropsychologist | 940 E Haverford Rd Ste 303, Bryn Mawr, PA 19010-3859 | 2019-01-03 |
| 1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
| 1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
| 1275033524 | Carla Towsey | Clinical Neuropsychologist | 200 Corporate Cir, Harrisburg, PA 17110-9796 | 2018-02-13 |
| 1093239824 | Ryan P.j. Stocker | Clinical Neuropsychologist | 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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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.