NPIMap

Organization Active NPI

Neurosound, Inc.

  • Specialist
  • San Diego, CA
National Provider Identifier
1346647153
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AU1842 Issued in CA
Legal business name
NEUROSOUND, INC.
Practice address
10755 Scripps Poway Parkway
Suite 581
San Diego, CA 92131
Phone
(858) 433-7626
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Polly Elizabeth Amaral, AU.D., CNIM
Title
Owner
Phone
(240) 298-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AU1842 CA Primary

Addresses

Primary practice location

10755 Scripps Poway Parkway
Suite 581
San Diego, CA 92131

Mailing address

10755 Scripps Poway Parkway
Suite 581
San Diego, CA 92131
Phone (858) 433-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208002935 CA Part B Supplier - Clinic/Group Practice 3577864974 Receives reassigned benefits from 7 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

10755 Scripps Poway Pkwy
#581
San Diego, CA 92131
Phone (858) 603-9255

10755 Scripps Poway Pkwy
Ste 581
San Diego, CA 92131
Phone (858) 433-7626

Practitioners & affiliated clinicians

Practitioners 7

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": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1346647153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PARKWAY",
            "address_2": "SUITE 581",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-433-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PARKWAY",
            "address_2": "SUITE 581",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-433-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSOUND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "AMARAL",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-298-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D., CNIM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "AU1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.