Connect Neuropsychology, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

CONNECT NEUROPSYCHOLOGY, PLLC

Practice address

2605 Jahn Ave NW Ste D1-D2
Gig Harbor, WA 98335-8902

Phone

(253) 400-1379

Fax

(253) 400-1380

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Sally Vogel, PHDNPI 1730487323

Title

President

Phone

(253) 400-1379

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Sally Vogel, PHD

  • Clinical Neuropsychologist
  • Gig Harbor, WA
  • NPI 1730487323
  NPD Authorized official
• Johanah Y Kang, PHD

  • Clinical Neuropsychologist
  • Tacoma, WA
  • NPI 1588163208
  NPD (past)

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1437973070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 JAHN AVE NW STE D1-D2",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358902",
            "telephone_number": "253-400-1379",
            "fax_number": "253-400-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 JAHN AVE NW STE D1-D2",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358902",
            "telephone_number": "253-400-1379",
            "fax_number": "253-400-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-400-1379",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leana Cordova
• Emily Corgan, PHARMD

• Clinical Neuropsychologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.