Neuro-Diagnostix

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PY7715 Issued in FL

Legal business name

NEURO-DIAGNOSTIX

Practice address

555 Heritage Drive Ste 110
Jupiter, FL 33458

Phone

(561) 734-6118

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Cicetti, PSY., D. LMHC

Title

Owner

Phone

(561) 734-6118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1033509492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CONGRESS AVE STE 208",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-734-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DRIVE STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-734-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-DIAGNOSTIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "CICETTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-734-6118",
        "authorized_official_credential": "PSY., D. LMHC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "PY7715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvis Lee Nelson, ARNP
• Nemat Clinic Inc
• Ejaz Nemat, MD
• Tamara Z Nemeroff, DPM
• Brenton Neuharth, ATC
• Neurocare Consultants Inc
• Neurology Specialists of Jupiter PA
• Neuropsychological and Memory Evaluations of Jupiter
• Brandon Travis Nevel, D.C.
• New Hope Counseling Services LLC

• Clinical Medical Laboratory in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.