Clinical Neuroscience, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0057645 Issued in MD

Legal business name

CLINICAL NEUROSCIENCE, LLC

Practice address

11055 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-2896

Phone

(410) 997-1928

Fax

(410) 997-1929

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thais D Weibel, M.D.NPI 1023060027

Title

Owner

Phone

(410) 997-1928

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thais Dorrynne Weibel, MD

  • Neurology Physician
  • Columbia, MD
  • NPI 1023060027
  NPD (past) Authorized official
• Victor D Setser, CRNA

  • Certified Registered Nurse Anesthetist
  • Mountain View, AR
  • NPI 1053391623
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1437335320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 ROSEDALE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144754",
            "telephone_number": "410-997-1928",
            "fax_number": "410-997-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442896",
            "telephone_number": "410-997-1928",
            "fax_number": "410-997-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEUROSCIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "WEIBEL",
        "authorized_official_first_name": "THAIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-997-1928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0057645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Cleveland
• Hannah Clevenger, CRNP
• Chloe Cline, ABAT
• Kathryn C Cline, LCPC
• Savannah Lynn Cline, RN, BSN
• Clinical Service Connections, Inc
• Cliniva Primary Care, LLC
• Alexis Audrey Jesseca Cloud
• Phyllis S Clymer, LCSW-C
• Cmplsr LLC (Comprehensive Laser & Aesthetics)

• Neurology Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.