Florida Neuropsychology Group PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

FLORIDA NEUROPSYCHOLOGY GROUP PA

Practice address

1860 82ND Ave Ste 201
Vero Beach, FL 32966-6998

Phone

(772) 365-4934

Fax

(772) 362-6901

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Laura Annette Adams, PSYDNPI 1750851887

Title

Neuropsychologist/Psychologist/Pres

Phone

(772) 365-4934

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Florida Neuropsychology Group, P.A. Other name

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Laura Annette Adams, PSYD

  • Clinical Psychologist
  • Vero Beach, FL
  • NPI 1750851887

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1205559028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 82ND AVE STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666998",
            "telephone_number": "772-365-4934",
            "fax_number": "772-362-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 82ND AVE STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666998",
            "telephone_number": "772-365-4934",
            "fax_number": "772-362-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA NEUROPSYCHOLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST/PSYCHOLOGIST/PRES",
        "authorized_official_telephone_number": "772-365-4934",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750851887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Neuropsychology Group, P.A.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Florida Neuropsychology Group, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Neuropsychologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.