Newrologix, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEWROLOGIX, LLC

Practice address

4063 N Goldenrod Rd # 101
Winter Park, FL 32792-8914

Phone

(407) 963-6400

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Adrian Quevedo, MS

Title

Owner

Phone

(407) 963-6400

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1235911298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MILLSHORE DR",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327669307",
            "telephone_number": "407-963-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD # 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928914",
            "telephone_number": "407-963-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWROLOGIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "QUEVEDO",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-963-6400",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sherice Newborn, CNA
• Newbridge Behavioral Health LLC
• Newbridge Medical Group LLC
• Lindsey Rachel Newman-Dufresne
• Theodore Newman, ARNP
• Lisa Anne Newton, MHS, OTRL
• Irene Nganga, PA-C
• Fernanda Ngo, RMHC
• Hamidah Khalilah Ngo, DO
• Andy Nguyen, MD

• Behavior Analyst in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.