Organization Active NPI

Generations Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Jackson, MS
National Provider Identifier
1306546460
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
GENERATIONS NEUROPSYCHOLOGY, LLC
Practice address
4500 I 55 N Ste 234
Jackson, MS 39211-5932
Phone
(601) 202-2472
Fax
(769) 333-9172
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Annelizabeth Robinson Carlew, PHDNPI 1992330864
Title
Neuropsychologist
Phone
(601) 202-2472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

4500 I 55 N Ste 234
Jackson, MS 39211-5932

Mailing address

109 Elizabeth Ave
Madison, MS 39110-8329
Phone (601) 826-7841

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306546460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ELIZABETH AVE",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108329",
            "telephone_number": "601-826-7841",
            "fax_number": "769-333-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 234",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115932",
            "telephone_number": "601-202-2472",
            "fax_number": "769-333-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CARLEW",
        "authorized_official_first_name": "ANNELIZABETH",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "601-202-2472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.