Neurobehavior North, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

121536 Issued in AK

Legal business name

NEUROBEHAVIOR NORTH, INC.

Practice address

8201 N Michaelson St
Palmer, AK 99645-8196

Phone

(907) 745-5066

Fax

(877) 640-1413

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Melinda Logan

Title

Owner/ Office Manager

Phone

(907) 745-5066

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 2

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

• Dustin M Logan, PHD

  • Clinical Neuropsychologist
  • Palmer, AK
  • NPI 1851578512
  Medicare reassignment NPD
• Darcy Grover Logan

  • Professional Counselor
  • Palmer, AK
  • NPI 1528576170
  NPD

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1457621914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3034",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996453034",
            "telephone_number": "907-745-5066",
            "fax_number": "907-746-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 N MICHAELSON ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458196",
            "telephone_number": "907-745-5066",
            "fax_number": "877-640-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIOR NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER/ OFFICE MANAGER",
        "authorized_official_telephone_number": "907-745-5066"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AK",
            "license": "274751",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AK",
            "license": "121536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Nebeker-Adams
• Jamie Neel, L.AC
• Kyla Dawn Neil, RN
• Ann F Nelson, LCSW
• Lourdette Diamond Neuburg
• New Vibrations LLC
• Steven Lee Newbold, RRT
• Kyla Elizabeth Newland, PHARMD.
• Elisabeth Nichols
• Danya Nicketa

• Clinical Neuropsychologist in Palmer, AK
• Providers in Palmer, AK by specialty
• Clinical Neuropsychologist in Alaska

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