NEUROSCIENCE CENTER (NPI# 1912160193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912160193 |
| Entity Type | Organization |
| Organization Name | NEUROSCIENCE CENTER |
| Practice Address |
1401 Centerville Rd Suite 504 Tallahassee FL 32308-4647 |
| Practice Telephone | 8504315001 |
| Practice Fax Number | 8504316101 |
| Mailing Telephone | 8504315001 |
| Mailing Fax Number | 8504316101 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | JUDY SHIPMAN (COORDINATOR) |
| Authorized Official Telephone | 8504315001 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | 24766O | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEUROSCIENCE CENTER OF INDIANAPOLIS | 3304 W 75th St, Indianapolis, IN 46268-2268 |
| Street Address |
1401 CENTERVILLE RD SUITE 504 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914084 | Charles G Maitland | Specialist | 1401 Centerville Rd, Suite 510, Tallahassee, FL 32308-4647 | 2005-07-05 |
| 1992287700 | Toriquic Jaba Dunkley | Nurse Practitioner | 1401 Centerville Rd, Tallahassee, FL 32308 | 2018-08-29 |
| 1063946374 | Heather Stewart | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1275067589 | Blake Davis | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1871027185 | Jessica Hill | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2017-04-13 |
| 1548713530 | David Wayne Lowery | Nurse Practitioner | 1401 Centerville Rd, Suite 5200, Tallahassee, FL 32308-4647 | 2016-07-26 |
| 1770946436 | Shlermine Aupont | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2016-03-31 |
| 1811359177 | Justin Lee | Student in an Organized Health Care Education/Training Program | 1401 Centerville Rd, Suite 107, Tallahassee, FL 32308-4647 | 2016-03-25 |
| 1750758132 | Jonathan Aaron Bussey | Nurse Practitioner | 1401 Centerville Rd, Suite 300, Tallahassee, FL 32308-4675 | 2015-09-01 |
| 1447633375 | Kendra Marcinowski | Nurse Practitioner | 1401 Centerville Rd, Suite 202, Tallahassee, FL 32308-4647 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687070 | Collaborative Counseling Associates | Social Worker | 2834 Remington Green Cir Ste 104, Tallahassee, FL 32308-3760 | 2019-12-29 |
| 1245876655 | Jesse Okeefe | Social Worker | 811 Laurel St, Tallahassee, FL 32303-5114 | 2019-11-20 |
| 1205471422 | Bianca S. Murphy | Social Worker | 3219 Thomasville Rd Apt 1c, Tallahassee, FL 32308-7916 | 2019-11-12 |
| 1265081715 | Yolanda Morris | Social Worker | 4132 Pond Cypress Ct, Tallahassee, FL 32310-6357 | 2019-09-07 |
| 1477100667 | Jeanette Grice | Social Worker | 1865 Raymond Tucker Rd, Tallahassee, FL 32311-8793 | 2019-08-22 |
| 1831666874 | Ari Mazer | Social Worker | 1965 Capital Cir Ne Ste 101, Tallahassee, FL 32308-8402 | 2018-10-29 |
| 1477068369 | Amanda Evelyn Lewand | Social Worker | 2301 Old Bainbridge Rd Apt S2005, Tallahassee, FL 32303-3815 | 2017-12-13 |
| 1215441290 | Jordon Marissa Gilbert | Social Worker | 3333 W Pensacola St Ste 300, Tallahassee, FL 32304-2867 | 2017-11-28 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1356700900 | Malasha Norton | Social Worker | 468 Merlin Ct, Tallahassee, FL 32301-3382 | 2016-02-10 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on NEUROSCIENCE CENTER.
| 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.