Neurodivergent Diagnostics and Psychology Consultation, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEURODIVERGENT DIAGNOSTICS AND PSYCHOLOGY CONSULTATION, PC

Practice address

996 Royal Marco Way
Marco Island, FL 34145-1829

Phone

(469) 694-1754

NPI assigned

Feb 10, 2025

Organization subpart

No

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

Authorized official

Name

Doreen Granpeesheh, PHD

Title

Ceo

Phone

(469) 694-1754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1013722792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 ROYAL MARCO WAY",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341451829",
            "telephone_number": "469-694-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 ROYAL MARCO WAY",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341451829",
            "telephone_number": "469-694-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERGENT DIAGNOSTICS AND PSYCHOLOGY CONSULTATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "GRANPEESHEH",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-694-1754",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubraya Murphy
• Natalia Navarro
• Neal Beightol, MD, PA
• Joseph B. Neiweem, M.D.
• Ashley Brooke Nelson, HAS, BC-HIS
• Neurodivergent Parenting LLC
• Neurodiverse Diagnostics PLLC
• Susan Wakesho Ngondo
• Oscar Ntoko Njume Jr.
• Northland Hearing Center, Inc.

• Clinical Psychologist in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.