Neurobehavioral Specialists of Jacksonville Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY8710 Issued in FL

Legal business name

NEUROBEHAVIORAL SPECIALISTS OF JACKSONVILLE INC

Doing business as

NBS-Jax

Practice address

4110 Southpoint Blvd Ste 212
Jacksonville, FL 32216-0927

Phone

(352) 682-0060

NPI assigned

Dec 8, 2014

Last updated

Dec 8, 2014By 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

Michelle A Prosje, PSYDNPI 1760707418

Title

Owner

Phone

(352) 682-0060

Specialties & licenses 1

Addresses

Other names 1

• NBS-JAX Doing business as

Locations

Practitioners 1

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.

• Michelle A Prosje, PSYD

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1760707418
  Authorized official Same address or phone

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1376941310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD STE 212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160927",
            "telephone_number": "352-682-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD STE 212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160927",
            "telephone_number": "352-682-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL SPECIALISTS OF JACKSONVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "PROSJE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-682-0060",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NBS-JAX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carole L. Neuman, M.D.
• Leigh Anne Neumayer, MD
• Eleanor S Neumuth, M.A. , LMHC, LMFT
• Neuro Care Inc.
• Neuro PT, PLLC
• Neurodoc Inc
• Neurological Associate of North Florida
• Neurological Care Center, L.L.C.
• Neurology Clinic of Jacksonville LLC
• Neurology Partners, P.a.

• Clinical Neuropsychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.