East Slope Neuropsychology, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PY 2939 Issued in WA

Legal business name

EAST SLOPE NEUROPSYCHOLOGY, INC.

Practice address

1015 S 40TH Ave
Suite 24
Yakima, WA 98908-3868

Phone

(509) 966-2961

Fax

(509) 966-2318

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jane Kucera Thompson, PH.D.

Title

President

Phone

(509) 966-2961

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1053594853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S 40TH AVE",
            "address_2": "SUITE 24",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083806",
            "telephone_number": "509-966-2961",
            "fax_number": "509-966-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S 40TH AVE",
            "address_2": "SUITE 24",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083868",
            "telephone_number": "509-966-2961",
            "fax_number": "509-966-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SLOPE NEUROPSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "KUCERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-966-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "PY 2939",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "PY2939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Yakima, WA
• Providers in Yakima, WA by specialty
• Exclusive Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.