Organization Active NPI

Neuro Intergration LLC

  • Clinical Neuropsychologist
  • West Palm Beach, FL
National Provider Identifier
1215420849
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEURO INTERGRATION LLC
Practice address
7731 N Military TRL
West Palm Beach, FL 33410-7430
Phone
(561) 721-9696
Fax
(954) 856-2904
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Silvia V Hernandez
Title
Manager
Phone
(954) 203-3584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

7731 N Military TRL
West Palm Beach, FL 33410-7430

Mailing address

125 Neptune Dr
Hypoluxo, FL 33462-6019
Phone (561) 504-2305

National Provider Directory

National Provider Directory
Tax ID family
Neuro Intergration LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1215420849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEPTUNE DR",
            "city": "HYPOLUXO",
            "state": "FL",
            "postal_code": "334626019",
            "telephone_number": "561-504-2305",
            "fax_number": "954-856-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107430",
            "telephone_number": "561-721-9696",
            "fax_number": "954-856-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO INTERGRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-203-3584"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.