NPIMap

Organization Active NPI

Neuro Intergration, LLC

  • Psychologist
  • Pompano Beach, FL
National Provider Identifier
1437653094
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7715 Issued in FL
Legal business name
NEURO INTERGRATION, LLC
Practice address
1990 N Federal Hwy Ste B
Pompano Beach, FL 33062-1032
Phone
(561) 504-2305
Fax
(954) 856-2904
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Veronica Hernandez
Title
Manager
Phone
(954) 203-3584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY7715 FL
Psychologist 103T00000X PY7715 FL Primary

Addresses

Primary practice location

1990 N Federal Hwy Ste B
Pompano Beach, FL 33062-1032

Mailing address

125 Neptune Dr
Hypoluxo, FL 33462-6019
Phone (561) 504-2305

Other names 1

  • NEURO INTERGRATION, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Neuro Intergration LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1437653094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEPTUNE DR",
            "city": "HYPOLUXO",
            "state": "FL",
            "postal_code": "334626019",
            "telephone_number": "561-504-2305",
            "fax_number": "954-856-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY STE B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "561-504-2305",
            "fax_number": "954-856-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO INTERGRATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-203-3584"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7715",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEURO INTERGRATION, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NEURO INTERGRATION, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.