Neurocognitive Specialty Group, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NEUROCOGNITIVE SPECIALTY GROUP, PLLC

Practice address

112 Magnolia Estates Dr
League City, TX 77573-4613

Phone

(888) 606-0086

Fax

(346) 223-0296

NPI assigned

Mar 25, 2019

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manuella G Herrera

Title

Credentialing Specialist

Phone

(832) 905-4892

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL, LA, MS, GA5 enrollments

Enrollment records 5

Locations

Practitioners 20

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.

• Jonathan Parks Fillauer, PHD, ABPP-CN

  • Clinical Neuropsychologist
  • League City, TX
  • NPI 1760911564
  Medicare reassignment Care Compare group NPD
• Gavin Derek Sanders, PHD

  • Clinical Psychologist
  • Plano, TX
  • NPI 1396536132
  Medicare reassignment Care Compare group NPD
• Erin Sullivan-Baca, PHD

  • Clinical Neuropsychologist
  • Plano, TX
  • NPI 1174103758
  Medicare reassignment Care Compare group NPD
• Brittany Danielle Walls, PHD

  • Clinical Neuropsychologist
  • Plano, TX
  • NPI 1447981279
  Medicare reassignment Care Compare group NPD
• William Alexander Alverson, PHD

  • Clinical Neuropsychologist
  • Alpharetta, GA
  • NPI 1295296226
  Medicare reassignment Care Compare group NPD
• Annelizabeth Robinson Carlew, PHD

  • Clinical Psychologist
  • Ridgeland, MS
  • NPI 1992330864

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD
• Farah Taha Goheer, PHD

  • Clinical Neuropsychologist
  • Alpharetta, GA
  • NPI 1699433581
  Medicare reassignment Care Compare group NPD
• Brian Heath Gordon, PHD

  • Clinical Neuropsychologist
  • Ridgeland, MS
  • NPI 1871818369
  Medicare reassignment Care Compare group NPD
• Daniel Anthony Proto, PH.D.

  • Clinical Neuropsychologist
  • Pensacola, FL
  • NPI 1396151049
  Medicare reassignment Care Compare group NPD
• Brian Miller, PHD

  • Clinical Neuropsychologist
  • Houston, TX
  • NPI 1689807240
  Medicare reassignment Care Compare group
• Rose Ann Dunn, PHD

  • Clinical Neuropsychologist
  • Dallas, TX
  • NPI 1740836113
  Medicare reassignment NPD
• Maria Cecilia Boix Braga, PHD

  • Clinical Neuropsychologist
  • Fort Lauderdale, FL
  • NPI 1891434411
  Medicare reassignment NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1346700275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAGNOLIA ESTATES DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734613",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAGNOLIA ESTATES DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734613",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Avignon Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391575172",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Old Shepard Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935269",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Village St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704585300",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7070 Knights Ct Ste 1304",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774595225",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 N Andrews Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333092165",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11810 Northfall Ln Ste 1203",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300097975",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Palisades Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047912",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROCOGNITIVE SPECIALTY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MANUELLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "832-905-4892"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Nadalin
• Leen Nahouli, AUD
• Carlos Alberto Navarro, MD
• Cheryl Nelson
• Network Provider Associates, P.C.
• New Chapter Counseling Services, PLLC
• New Teeth Dental League City GPS PLLC
• New Teeth League City, PLLC (New Teeth Dental Solutions)
• Nicole Newby, LCSW
• Beverly Sue Newhouse, O.D.

• Clinical Neuropsychologist in League City, TX
• Providers in League City, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.