Neuropsychology Associates PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

689 Issued in AZ

Legal business name

NEUROPSYCHOLOGY ASSOCIATES PC

Practice address

141 S McCormick St
Suite 109
Prescott, AZ 86303-4729

Phone

(928) 777-2477

Fax

(602) 274-7402

NPI assigned

Feb 2, 2010

Last updated

Feb 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

NEUROPSYCHOLOGY ASSOCIATES PCAs reported in NPPES

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

Authorized official

Name

Dr. Harold Daniel Blackwood, PHDNPI 1215086137

Title

Presicent

Phone

60223083224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neuropsychology Associates P C

  • Clinical Neuropsychologist
  • Prescott, AZ
  • NPI 1760688873

  O20100211000056

  Same enrollment

Part of

Neuropsychology Associates PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Neuropsychology Associates, PC

  • Clinical Neuropsychologist
  • Prescott, AZ
  • NPI 1164973467
  NPPES parent name

Practitioners 3

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.

• Harold Daniel Blackwood, PHD

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1215086137
  NPD Authorized official
• Jason John Baker, PH.D.

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1487868436
  NPD (past)
• Jennifer J Bortz, PHD

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1306823810
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1265764278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 N 7TH ST",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141839",
            "telephone_number": "602-230-8324",
            "fax_number": "602-274-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST",
            "address_2": "SUITE 109",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034729",
            "telephone_number": "928-777-2477",
            "fax_number": "602-274-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROPSYCHOLOGY ASSOCIATES PC",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESICENT",
        "authorized_official_telephone_number": "60223083224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gayle Nesbit, OTR/L
• Larayne Annette Ness, ARNP
• Network Wellness Center of Prescott
• Neuropathy and Pain Centre of Prescott LLC (Energie Health)
• Neuropsychology Associates P C
• Neuropsychology Associates, PC
• New Freedom Recovery House, LLC.
• New Life Chiropractic, LTD.
• Kristin Holly Newell, ND
• Cheryl Ann Newman, PT

• Clinical Neuropsychologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.