Neurorehab, L.L.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

5490 Issued in OH

Legal business name

NEUROREHAB, L.L.C.

Practice address

1 E Campus View Blvd
Suite 220
Columbus, OH 43235-5691

Phone

(614) 847-9008

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Hill, PH.D.

Title

Psychologist

Phone

(614) 847-9008

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1104044627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CAMPUS VIEW BLVD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355691",
            "telephone_number": "614-847-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CAMPUS VIEW BLVD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355691",
            "telephone_number": "614-847-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROREHAB, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-847-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "5490",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "5490",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "OH",
            "license": "5490",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "OH",
            "license": "5490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Neuropsychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.