NPIMap

Organization Active NPI

Aspire Neuro Psychological Services, Inc.

  • Clinical Neuropsychologist
  • Walnut Creek, CA
National Provider Identifier
1134639859
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
28008 Issued in CA
Legal business name
ASPIRE NEURO PSYCHOLOGICAL SERVICES, INC.
Practice address
2815 Mitchell Dr Ste 119
Walnut Creek, CA 94598-1622
Phone
(925) 885-6070
Fax
(925) 835-7071
NPI assigned
Oct 8, 2017
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Dr. Keiko Y Miller, PSY.D.NPI 1720442965
Title
Owner/Ceo
Phone
(925) 885-6070

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
Clinical Neuropsychologist 103G00000X 28008 CA Primary
Clinical Psychologist 103TC0700X 28008 CA

Addresses

Primary practice location

2815 Mitchell Dr Ste 119
Walnut Creek, CA 94598-1622

Mailing address

802 Morningside Way
Pleasant Hill, CA 94523-2467
Phone (925) 885-6070

National Provider Directory

National Provider Directory

Locations

2815 Mitchell Dr
Ste 119
Walnut Creek, CA 94598
Phone (510) 301-8655

2815 Mitchell Dr
Ste 128
Walnut Creek, CA 94598
Phone (510) 301-8655

Practitioners & affiliated clinicians

Practitioners 4

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": "1507420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1134639859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MORNINGSIDE WAY",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232467",
            "telephone_number": "925-885-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 MITCHELL DR STE 119",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981622",
            "telephone_number": "925-885-6070",
            "fax_number": "925-835-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE NEURO PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-08",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEIKO",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "925-885-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "28008",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.