NPIMap

Organization Active NPI

Neuro Intergration, LLC

  • Clinical Neuropsychologist
  • Greenacres, FL
National Provider Identifier
1255821278
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEURO INTERGRATION, LLC
Practice address
4824 10TH Ave N
Greenacres, FL 33463-2208
Phone
(561) 504-2305
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NEURO INTERGRATION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

4824 10TH Ave N
Greenacres, FL 33463-2208

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
Part of
Neuro Intergration LLC

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": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1255821278",
    "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": "4824 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632208",
            "telephone_number": "561-504-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO INTERGRATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEURO INTERGRATION, LLC",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "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": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.