The Neuropsychology Consultants, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2249 Issued in NC

Legal business name

THE NEUROPSYCHOLOGY CONSULTANTS, PA

Practice address

3824 Barrett Dr
Suite 101
Raleigh, NC 27609-7220

Phone

(919) 785-9944

Fax

(919) 785-9992

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elwood Johnson Burgess Jr., PSY.D.NPI 1265644637

Title

President

Phone

(919) 785-9944

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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

• Elwood Johnson Burgess Jr., PSY.D.

  • Clinical Neuropsychologist
  • Raleigh, NC
  • NPI 1265644637
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Ann Brown, PSY.D

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1831609791
  Medicare reassignment Care Compare group NPD
• Lisa Fox, PSY.D.

  • Clinical Neuropsychologist
  • Mount Vernon, NY
  • NPI 1255624797

  NC

  Medicare reassignment Care Compare group NPD
• Mary Crute Crumpler

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1821411349
  NPD (past)
• Tara Beth Luellen, MA, LPA

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1659678647
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1518158757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-785-9944",
            "fax_number": "919-785-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-785-9944",
            "fax_number": "919-785-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROPSYCHOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "ELWOOD",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-785-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "2249",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2249",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2249",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "2249",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NC",
            "license": "2249",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "NC",
            "license": "2249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "027YM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Manor at Riverbrooke
• The Medical Supercenter of Raleigh, Inc. (The Medical Supercenter, Inc.)
• The Mental Health Association in North Carolina, Inc.
• The Methodist Home for Children, in.C
• The Mindful Connection, PLLC
• The Next Step Community Services (The Next Step)
• The Perspectives Collective, PLLC
• The Raleigh Black Chamber of Commerce
• The Raleigh Eye Center (The Optical Dispensary)
• The Raw Love Foundation

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.