Neurobehavioral Health, P. C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041988A Issued in IN

Legal business name

NEUROBEHAVIORAL HEALTH, P. C.

Practice address

100 N Tillotson Ave
Muncie, IN 47304-3987

Phone

(765) 748-7809

Fax

(765) 281-9498

NPI assigned

Aug 25, 2008

Last updated

Mar 24, 2009By 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

Andrew S Davis, PH.D., HSPP

Title

Owner

Phone

(765) 748-7809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1457508186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043987",
            "telephone_number": "765-748-7809",
            "fax_number": "765-281-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL HEALTH, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-748-7809",
        "authorized_official_credential": "PH.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041988A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyler Thomas Nelis
• Hadiya Nelson
• Terry T Nelson, D.D.S.
• Alysha L Nemore, LMHC
• Abby Nethaway, PH. D.
• Terri Ann Nevil, COTA/L
• Fleeta Renee Nevins, PHD HSPP
• New Beginnings Services LLC
• New Dimensions Behavioral Health
• New Hope Home Care Inc

• Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.