Individual provider Active NPI

Robert A. Catanese, PH.D.

  • Clinical Neuropsychologist
  • Cleveland, TN
National Provider Identifier
1417061623
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P1361 Issued in TN
Practice address
2775 Executive Park NW
Suite 1
Cleveland, TN 37312-2723
Phone
(423) 339-3996
Fax
(423) 479-9682
NPI assigned
Aug 18, 2006
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X P1361 TN Primary

Addresses

Primary practice location

2775 Executive Park NW
Suite 1
Cleveland, TN 37312-2723

Mailing address

2775 Executive Park NW
Suite 1
Cleveland, TN 37312-2723
Phone (423) 339-3996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1361TNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Catanese PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1417061623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 EXECUTIVE PARK NW",
            "address_2": "SUITE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122723",
            "telephone_number": "423-339-3996",
            "fax_number": "423-479-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 EXECUTIVE PARK NW",
            "address_2": "SUITE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122723",
            "telephone_number": "423-339-3996",
            "fax_number": "423-479-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANESE",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "P1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.