NPIMap

Organization Active NPI

Southern Indiana Rehabilitation Hospital

Doing business as Southern Indiana Rehabilitation Hospital Neuropsych Group

  • Clinical Neuropsychologist
  • New Albany, IN
National Provider Identifier
1588877617
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
006205 Issued in IN
Legal business name
SOUTHERN INDIANA REHABILITATION HOSPITAL
Doing business as
Southern Indiana Rehabilitation Hospital Neuropsych Group
Practice address
3104 Blackiston Blvd
New Albany, IN 47150-9579
Phone
(812) 941-8300
NPI assigned
May 7, 2007
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Randy Napier
Title
Chief Executive Officer
Phone
(812) 941-6106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 006205 IN Primary

Addresses

Primary practice location

3104 Blackiston Blvd
New Albany, IN 47150-9579

Mailing address

PO Box 2587
Louisville, KY 40201-2587

Other identifiers 1

IdentifierTypeStateIssuer
200350290MedicaidIN

Other names 1

  • Southern Indiana Rehabilitation Hospital Neuropsych Group Doing business as

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1588877617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLACKISTON BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509579",
            "telephone_number": "812-941-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "NAPIER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "812-941-6106"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "006205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Indiana Rehabilitation Hospital Neuropsych Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.