Neurobehavioral Diagnostics LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1158 Issued in SC

Legal business name

NEUROBEHAVIORAL DIAGNOSTICS LLC

Practice address

11 Richland Medical Park Dr
Columbia, SC 29203-6863

Phone

(803) 434-4838

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Kruse

Title

Manager

Phone

(803) 434-4838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1326451055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 ISLAND VIEW CIR",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290459182",
            "telephone_number": "803-434-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036863",
            "telephone_number": "803-434-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-434-4838",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquandra Kritese Nesmith, M.A.
• Ashley Michele Nettles, D.P.M
• Dymphna Netto, MD
• Francis H. Neuffer, M.D.
• Mary K Neuffer, MD
• Margaret H Nevergoll
• Esperansa Neville
• Katelyn Nevitt, DMD
• New Adventures ABA, LLC
• New Beginning Consulting Firm LLC

• Clinical Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.