NPIMap

Organization Active NPI

Neuro Intergration LLC

  • Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1033601653
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NEURO INTERGRATION LLC
Practice address
2500 N Federal Hwy Ste 100
Fort Lauderdale, FL 33305
Phone
(844) 535-2700
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Veronica Hermnandez
Title
Billing Manager
Phone
(954) 203-3584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

2500 N Federal Hwy Ste 100
Fort Lauderdale, FL 33305

Mailing address

125 Neptune Dr
Hypoluxo, FL 33462-6019
Phone (561) 504-2305

National Provider Directory

National Provider Directory
Tax ID family
Neuro Intergration LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1033601653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEPTUNE DR",
            "city": "HYPOLUXO",
            "state": "FL",
            "postal_code": "334626019",
            "telephone_number": "561-504-2305",
            "fax_number": "954-856-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N FEDERAL HWY STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "844-535-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO INTERGRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "HERMNANDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-203-3584"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.