Coastal Bend Neuropsychology

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

COASTAL BEND NEUROPSYCHOLOGY

Practice address

4646 Corona Dr Ste 258
Corpus Christi, TX 78411-4320

Phone

(361) 334-0256

Fax

(361) 400-5558

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Leanne Marie Buttross, PHDNPI 1821288267

Title

Owner/Clinical Neuropsychologist

Phone

(361) 253-5604

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Leanne Marie Buttross, PH.D.

  • Clinical Neuropsychologist
  • Corpus Christi, TX
  • NPI 1821288267
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1447897913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 258",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114320",
            "telephone_number": "361-253-5604",
            "fax_number": "361-400-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 258",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114320",
            "telephone_number": "361-334-0256",
            "fax_number": "361-400-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BUTTROSS",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "361-253-5604",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Bend Oral & Facial Surgery, PA
• Coastal Bend Orthopaedic Specialists, PLLC
• Coastal Bend Parameds, LLC
• Coastal Bend Pet Scan LTD

• Clinical Neuropsychologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.