Neuropsychological Consultants, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEUROPSYCHOLOGICAL CONSULTANTS, INC

Practice address

4630 W Jefferson Blvd
Unit 1
Fort Wayne, IN 46804-6856

Phone

(260) 409-2099

Fax

(260) 436-2135

NPI assigned

Jan 10, 2006

Organization subpart

No

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

Authorized official

Name

Heidi L Musgrave, PH.D

Title

Ceo

Phone

(260) 409-2099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shannon Colburn-Blinn, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1053766782

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1508845496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 W JEFFERSON BLVD",
            "address_2": "PMB 145",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046203",
            "telephone_number": "260-409-2099",
            "fax_number": "260-436-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 W JEFFERSON BLVD",
            "address_2": "UNIT 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046856",
            "telephone_number": "260-409-2099",
            "fax_number": "260-436-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "MUSGRAVE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-409-2099",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 24, 2014; 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.