Nea Neuropsychology, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

11-05P Issued in AR

Legal business name

NEA NEUROPSYCHOLOGY, PLLC

Practice address

304 Southwest SQ
Jonesboro, AR 72401-5984

Phone

(870) 203-6085

Fax

(870) 203-6083

NPI assigned

Jun 9, 2014

Last updated

Jun 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marilyn Michelle Hendrix

Title

Office Coordinator

Phone

(870) 203-6085

Specialties & licenses 2

Addresses

Locations

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.

• Angela St. Pierre, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1689176836

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1235542150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16374",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036706",
            "telephone_number": "870-203-6085",
            "fax_number": "870-203-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SOUTHWEST SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015984",
            "telephone_number": "870-203-6085",
            "fax_number": "870-203-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEA NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "870-203-6085"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AR",
            "license": "11-05P",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "11-05P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.