Neuro Cog LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

NEURO COG LLC

Practice address

510 24TH Ave SW
Norman, OK 73069-5106

Phone

(405) 329-7923

Fax

(405) 329-8815

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Raymond H McCaffrey Jr., PH.D.

Title

Owner/Licensed Health Service Psych

Phone

(405) 329-7923

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• NeuroCog LLC Other name

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1114458478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695106",
            "telephone_number": "405-329-7923",
            "fax_number": "405-329-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730695106",
            "telephone_number": "405-329-7923",
            "fax_number": "405-329-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO COG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MCCAFFREY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/LICENSED HEALTH SERVICE PSYCH",
        "authorized_official_telephone_number": "405-329-7923",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3712",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200709760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroCog LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Counselor in Norman, OK
• Providers in Norman, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.