Organization Active NPI

Neuropsychological Evaluation and Treatment Services

  • Clinical Neuropsychologist
  • New Port Richey, FL
National Provider Identifier
1124794987
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROPSYCHOLOGICAL EVALUATION AND TREATMENT SERVICES
Practice address
8819 River Crossing Blvd
New Port Richey, FL 34655-5132
Phone
(813) 820-0677
Fax
(813) 820-0677
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Tahirin ArtrechesNPI 1114334380
Title
Owner
Phone
(787) 642-5959

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

8819 River Crossing Blvd
New Port Richey, FL 34655-5132

Mailing address

PO Box 10122
Tampa, FL 33679-0122
Phone (813) 820-0677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421000502 FL Part B Supplier - Clinic/Group Practice 9234526229 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

15131 Ogden Loop
#104
Odessa, FL 33556
Phone (813) 820-0677

Practitioners & affiliated clinicians

Practitioners 1

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": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1124794987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10122",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336790122",
            "telephone_number": "813-820-0677",
            "fax_number": "813-820-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 RIVER CROSSING BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555132",
            "telephone_number": "813-820-0677",
            "fax_number": "813-820-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL EVALUATION AND TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "ARTRECHES",
        "authorized_official_first_name": "TAHIRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-642-5959"
    },
    "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 New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.