Organization Active NPI

Clinical Forensic Neuropsychology LLC

  • Clinical Neuropsychologist
  • Tucson, AZ
National Provider Identifier
1194571232
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
CLINICAL FORENSIC NEUROPSYCHOLOGY LLC
Practice address
5210 E Pima St Ste 210
Tucson, AZ 85712-3678
Phone
(520) 400-6467
Fax
(520) 615-0833
NPI assigned
Apr 29, 2024
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Dr. David Hermosillo-Romo, PHDNPI 1467544718
Title
Owner
Phone
(520) 400-6467

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 Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

5210 E Pima St Ste 210
Tucson, AZ 85712-3678

Mailing address

5210 E Pima St Ste 210
Tucson, AZ 85712-3678
Phone (520) 400-6467

National Provider Directory

National Provider Directory

Locations

5210 E Pima St
Ste 210
Tucson, AZ 85712
Phone (520) 400-6467

Practitioners & affiliated clinicians

Practitioners 1

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": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1194571232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST STE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123678",
            "telephone_number": "520-400-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST STE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123678",
            "telephone_number": "520-400-6467",
            "fax_number": "520-615-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL FORENSIC NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "HERMOSILLO-ROMO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-400-6467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.