Generational Bridges Neuropsychological Services PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

GENERATIONAL BRIDGES NEUROPSYCHOLOGICAL SERVICES PLLC

Practice address

1515 E Missouri Ave Ste 110
Phoenix, AZ 85014-2443

Phone

(623) 322-9936

Fax

(623) 218-1337

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Middaugh, PSYD

Title

President

Phone

(623) 322-9936

Specialties & licenses 1

Addresses

Other names 1

• Generational Bridges Neuropsychological Services PLLC Doing business as

Locations

Practitioners 1

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

• Beth Lavin, PH.D.

  • Clinical Neuropsychologist
  • Truckee, CA
  • NPI 1306434899
  NPD (past)

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1467088062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142443",
            "telephone_number": "623-322-9936",
            "fax_number": "623-218-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142443",
            "telephone_number": "623-322-9936",
            "fax_number": "623-218-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONAL BRIDGES NEUROPSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "MIDDAUGH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-322-9936",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generational Bridges Neuropsychological Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Generational Bridges Neuropsychological Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George T Gendy, MD
• General and Vascular Surgeons PC
• General Dentistry 4 Kids-Glendale PLLC
• General Dentistry for Kids-Greenway PLLC
• General Health Corporation
• Genesis Behavioral Clinic LLC
• Genesis Community LLC
• Genesis Homecare Agency
• Genesis Hospicecare Services, Inc.
• Genesis Medical Practice Management

• Clinical Neuropsychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.