Organization Active NPI

Neurometrics, Inc.

Doing business as The NeuroPath Center

  • Speech-Language Pathologist
  • Boulder, CO
National Provider Identifier
1457552366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
434 Issued in HI
Legal business name
NEUROMETRICS, INC.
Doing business as
The NeuroPath Center
Practice address
2885 Aurora Ave
Suite 1
Boulder, CO 80303-2250
Phone
(303) 444-1792
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carla Y. Hickey, MA, CCC-SLP
Title
President
Phone
(303) 444-1792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 434 HI Primary

Addresses

Primary practice location

2885 Aurora Ave
Suite 1
Boulder, CO 80303-2250

Mailing address

2885 Aurora Ave
Suite 1
Boulder, CO 80303-2250
Phone (303) 444-1792

Other names 1

  • The NeuroPath Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457552366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 AURORA AVE",
            "address_2": "SUITE 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032250",
            "telephone_number": "303-444-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 AURORA AVE",
            "address_2": "SUITE 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032250",
            "telephone_number": "303-444-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMETRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-444-1792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The NeuroPath Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.