NE Psychological LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NE PSYCHOLOGICAL LLC

Practice address

6343 Constitution Dr
Fort Wayne, IN 46804-1547

Phone

(260) 704-5305

Fax

(260) 572-2679

NPI assigned

Dec 3, 2019

Last updated

Dec 3, 2019By 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

Paula Neuman, PSYDNPI 1144555855

Title

Owner

Phone

(260) 704-5305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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, and the practitioner matching its NPPES authorized official.

• Paula A. Neuman, ED.D., PSY.D., HSPP

  • Health Service Psychologist
  • Fort Wayne, IN
  • NPI 1144555855
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1457998007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041547",
            "telephone_number": "260-704-5305",
            "fax_number": "260-572-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041547",
            "telephone_number": "260-704-5305",
            "fax_number": "260-572-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-704-5305",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor R Navarro
• Navigate Maternity Inc.
• Ibrahim Khurram Nawaz, MD
• Zarifa D. Nazarov, MSW
• Nkululeko Sympathy Ndlovu
• Crystal Neal, NP
• Emanuel Eugene Nearing II, MD
• Douglas A. Neeld, MD
• Margaret Anne Neese, DDS
• Marisa Neff, COTA

• Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.