Neurogenesis LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEUROGENESIS LLC

Practice address

1115 Church St NW Ste J
Huntsville, AL 35801-5980

Phone

(605) 484-0560

NPI assigned

Feb 16, 2022

Last updated

Sep 21, 2022By 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

Dr. Justine Ashokar, PH. D.

Title

Psychologist

Phone

(605) 484-0560

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1558016840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 PICADILLY LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032050",
            "telephone_number": "605-484-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CHURCH ST NW STE J",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015980",
            "telephone_number": "605-484-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGENESIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "ASHOKAR",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "605-484-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleisha Renae Nesbitt, LICSW
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• Daniel Thomas Neuberger, M.D.
• Sandesh Neupane
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• Neurology Associates,P.C
• Neurology Consultants of Huntsville, P.C.
• Neurology Institute of Huntsville Inc
• New Beacon Healthcare Group, LLC (New Beacon of Huntsville)

• Community/Behavioral Health Agency in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.