Gene Chambers PHD PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

GENE CHAMBERS PHD PLLC

Practice address

2592 N Gregg Ave
Ste 16
Fayetteville, AR 72703-5543

Phone

(479) 313-6333

Fax

(479) 313-6168

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Gene Chambers

Title

Owner

Phone

(479) 313-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Harvey E Chambers, CP

  • Clinical Neuropsychologist
  • Fayetteville, AR
  • NPI 1871527267
  Medicare reassignment NPD

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1205375250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE",
            "address_2": "STE 16",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035543",
            "telephone_number": "479-313-6333",
            "fax_number": "479-313-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE",
            "address_2": "STE 16",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035543",
            "telephone_number": "479-313-6333",
            "fax_number": "479-313-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE CHAMBERS PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-313-6333"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Neuropsychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.