Organization Active NPI

Columbus Neuropsychological Associates LLC

  • Clinical Neuropsychologist
  • Westerville, OH
National Provider Identifier
1508143017
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
COLUMBUS NEUROPSYCHOLOGICAL ASSOCIATES LLC
Practice address
597 Executive Campus Dr
Westerville, OH 43082-8870
Phone
(614) 356-0787
NPI assigned
Nov 11, 2011
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Dr. Jennifer J Whatley, PHDNPI 1902056575
Title
President
Phone
(614) 356-0787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

597 Executive Campus Dr
Westerville, OH 43082-8870

Mailing address

6008 Aberfeldy CT
Westerville, OH 43082-8344
Phone (614) 356-0787

Other practice location 1

6008 Aberfeldy Ct
Westerville, OH 43082-8344
Phone (614) 356-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000691 OH Part B Supplier - Clinic/Group Practice 5294994265 Receives reassigned benefits from 2 practitioners
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory
Tax ID family
Columbus Neuropsychological2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

597 Executive Campus Dr
Westerville, OH 43082
Phone (614) 356-0787

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1508143017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 ABERFELDY CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828344",
            "telephone_number": "614-356-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 EXECUTIVE CAMPUS DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828870",
            "telephone_number": "614-356-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6008 Aberfeldy Ct",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828344",
            "country_code": "US",
            "telephone_number": "614-356-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBUS NEUROPSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WHATLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-356-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.