Organization Active NPI

Neuro-Psych Alliance, Inc.

  • Clinical Neuropsychologist
  • Pleasanton, CA
National Provider Identifier
1003145293
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY13703 Issued in CA
Legal business name
NEURO-PSYCH ALLIANCE, INC.
Practice address
7901 Stoneridge Dr Ste 521
Pleasanton, CA 94588-4531
Phone
(925) 469-1989
Fax
(925) 426-2328
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brent Hughey
Title
Ceo
Phone
(925) 469-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PSY13703 CA Primary

Addresses

Primary practice location

7901 Stoneridge Dr Ste 521
Pleasanton, CA 94588-4531

Mailing address

7901 Stoneridge Drive,
Suite 110
Pleasanton, CA 94588
Phone (925) 469-1989

National Provider Directory

National Provider Directory

Locations

7901 Stoneridge Dr
Ste 110
Pleasanton, CA 94588

7901 Stoneridge Dr
Ste 521
Pleasanton, CA 94588
Phone (415) 225-6211

3580 Payne Ave
San Jose, CA 95117
Phone (408) 248-7100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1003145293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 STONERIDGE DRIVE,",
            "address_2": "SUITE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-469-1989",
            "fax_number": "925-426-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 STONERIDGE DR STE 521",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884531",
            "telephone_number": "925-469-1989",
            "fax_number": "925-426-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-PSYCH ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HUGHEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-469-1989",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY13703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.