Organization Active NPI

Neuropsychological Assessment and Therapy Services, LLC

  • Clinical Neuropsychologist
  • Berwyn, PA
National Provider Identifier
1104202902
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROPSYCHOLOGICAL ASSESSMENT AND THERAPY SERVICES, LLC
Practice address
1199 Lancaster Ave Ste 110
Berwyn, PA 19312-1341
Phone
(610) 241-4331
Fax
(484) 870-5609
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Dr. Julie Lynn Guay, PSYDNPI 1831331420
Title
Owner
Phone
(267) 559-5626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

1199 Lancaster Ave Ste 110
Berwyn, PA 19312-1341

Mailing address

1199 Lancaster Ave Ste 110
Berwyn, PA 19312-1341
Phone (610) 241-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160324000097 PA Part B Supplier - Clinic/Group Practice 0648577361 Receives reassigned benefits from 4 practitioners
Practice locations: Berwyn, PA; King of Prussia, PA

National Provider Directory

National Provider Directory

Locations

1199 Lancaster Ave
Ste 110
Berwyn, PA 19312
Phone (610) 241-4331

1199 Lancaster Ave
Ste 105
Berwyn, PA 19312
Phone (610) 241-4331

114 John Robert Thomas Dr
Exton, PA 19341
Phone (610) 241-4331

59 General Warren Blvd
Malvern, PA 19355

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1104202902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 LANCASTER AVE STE 110",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121341",
            "telephone_number": "610-241-4331",
            "fax_number": "484-416-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 LANCASTER AVE STE 110",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121341",
            "telephone_number": "610-241-4331",
            "fax_number": "484-870-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL ASSESSMENT AND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "GUAY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-559-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.