JEANELLE SONYA ALI (NPI# 1912538950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912538950 |
| Entity Type | Individual |
| Full Name | JEANELLE SONYA ALI |
| Credential | PHD |
| Practice Address |
848 Adams Ave Ste L400 Memphis TN 38103-2816 |
| Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
| Practice Telephone | 9012877337 |
| Practice Fax Number | 9012874540 |
| Mailing Fax Number | 9012876804 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3667 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q060269 | 05 |
| Street Address |
848 ADAMS AVE STE L400 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629369475 | Amy Law Patterson | Psychiatry & Neurology | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2011-04-27 |
| 1902454127 | Gwendolyn Beard | Clinical Neuropsychologist | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2019-08-30 |
| 1578084778 | Brittani Ireland | Nurse Practitioner | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2017-06-28 |
| 1801343835 | Billy D. Holcombe | Clinical Neuropsychologist | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2016-09-07 |
| 1598152928 | Andrew Charles Schroeder | Psychiatry & Neurology | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2015-04-23 |
| 1861800138 | Kelly West | Nurse Practitioner | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2014-07-30 |
| 1316387095 | Nitish Chourasia | Psychiatry & Neurology | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2013-06-26 |
| 1366797409 | Kelley Leanne Ward | Nurse Practitioner | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2012-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| 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 |
|---|---|---|---|---|
| 1306162326 | Neelam Jain | Clinical Neuropsychologist | 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 | 2010-04-15 |
| 1700971413 | Christopher H. Bassin | Clinical Neuropsychologist | 5154 Stage Rd Ste 102, Memphis, TN 38134-3118 | 2006-10-04 |
| 1285660621 | Connie S Paul | Clinical Neuropsychologist | 5154 Stage Rd, Suite 102, Memphis, TN 38134-3118 | 2006-06-25 |
| 1902454127 | Gwendolyn Beard | Clinical Neuropsychologist | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2019-08-30 |
| 1154977577 | Jennifer Longoria | Clinical Neuropsychologist | 262 Danny Thomas Place, Psychology Dept., Memphis, TN 38105 | 2019-08-12 |
| 1336706886 | Adaptive Neuropsychology Services, Pllc | Clinical Neuropsychologist | 5154 Stage Rd Ste 102, Memphis, TN 38134-3118 | 2019-05-21 |
| 1992287213 | Jessica Arean Pliego | Clinical Neuropsychologist | 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 2018-09-04 |
| 1396266045 | Marcy Adler | Clinical Neuropsychologist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2017-07-03 |
| 1801343835 | Billy D. Holcombe | Clinical Neuropsychologist | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2016-09-07 |
| 1750784096 | Lisa M Jacola | Clinical Neuropsychologist | 262 Danny Thomas Pl, Ms 740 - St. Jude Children's Research Hospital, Memphis, TN 38105-3678 | 2014-10-01 |
| Find all providers in MEMPHIS | ||||
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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.