Neurofeedback Training Clinics, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NEUROFEEDBACK TRAINING CLINICS, LLC

Practice address

425 S Adams St Ste 102
Green Bay, WI 54301-4117

Phone

(920) 888-5961

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By 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

Adam M Sturdevant, PSYDNPI 1457585614

Title

Clinical Director/Psychologist

Phone

(920) 888-6868

Specialties & licenses 1

Addresses

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.

• Adam Miles Sturdevant, PSY.D.

  • Clinical Psychologist
  • Green Bay, WI
  • NPI 1457585614
  Authorized official Same address or phone

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1427758481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S ADAMS ST STE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014117",
            "telephone_number": "920-888-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S ADAMS ST STE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014117",
            "telephone_number": "920-888-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROFEEDBACK TRAINING CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "STURDEVANT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "920-888-6868",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie R. Neu
• Steven E Neu, MD
• David W Neuenfeldt, PT
• Ellen Mary Neuhaus, MD
• Sue Neuman, PTA
• Neurology Consultants of NE
• Neuropsychology of Green Bay LTD
• Neurotech, LLC
• Neurotech, LLC
• Linda M Neuser, CRNA

• Multi-Specialty Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.