Vickie Renea Brewer

Primary specialty

SpecialistTaxonomy code 174400000X

License

P2103 Issued in TN

Legal business name

VICKIE RENEA BREWER

Doing business as

Center for Pediatric Neuropsychology

Practice address

50 N Dunlap St
Box 18
Memphis, TN 38103-2800

Phone

(901) 287-5220

Fax

(901) 287-4502

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By 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

Mr. Job D Caspall

Title

Chief Operating Officer

Phone

(901) 287-5220

Specialties & licenses 1

Addresses

Other names 1

• Center for Pediatric Neuropsychology 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, and the practitioner matching its NPPES authorized official.

• Vickie Renea Brewer Caspall, PH.D.

  • Clinical Neuropsychologist
  • Walnut Ridge, AR
  • NPI 1265470082

  Specialist

  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518021591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 WASHINGTON AVE",
            "address_2": "SUITE P235",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054550",
            "telephone_number": "901-287-5220",
            "fax_number": "901-287-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N DUNLAP ST",
            "address_2": "BOX 18",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032800",
            "telephone_number": "901-287-5220",
            "fax_number": "901-287-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKIE RENEA BREWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASPALL",
        "authorized_official_first_name": "JOB",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "901-287-5220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "P2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pediatric Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vibrant Life Services
• Paige Vicenzi, DO
• Scott Thomas Vicenzi, DO
• Malasy Vichathep, CRNA
• Thomas A Vickers, CRNA
• Gabrielle Mays Victor, FNP-C
• Victory Medical Equipment and Supplies, Inc. (N/a)
• Lauren Vieira, DMD
• Leonidas N Vieron, M.D.
• Caitlyn Lesley Vilas, MD

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.