NPIMap

Organization Active NPI

East Slope Neuropsychology, Inc.

  • Exclusive Provider Organization
  • Yakima, WA
National Provider Identifier
1053594853
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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.NPI 1922172667
Title
President
Phone
(509) 966-2961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X PY 2939 WA Primary
Exclusive Provider Organization 302F00000X PY2939 WA

Addresses

Primary practice location

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

Mailing address

1015 S 40TH Ave
Suite 24
Yakima, WA 98908-3806
Phone (509) 966-2961

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Yakima, WA

Sources for this page

  • 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.