Active NPI
Cadence Neuropsychological Services PLLC
- Clinical Neuropsychologist
- Fuquay Varina, NC
National Provider Identifier
1609629112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- CADENCE NEUROPSYCHOLOGICAL SERVICES PLLC
- Practice address
- 849 Stable Fern Dr
Fuquay Varina, NC 27526-3754 - Phone
- (510) 316-5170
- NPI assigned
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy Chen, PSYD
- Title
- Clinical Neuropsychologist
- Phone
- (510) 316-5170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
849 Stable Fern Dr
Fuquay Varina, NC 27526-3754
Mailing address
849 Stable Fern Dr
Fuquay Varina, NC 27526-3754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240801001365 | NC | Part B Supplier - Clinic/Group Practice | 6800333469 |
Receives reassigned benefits from 1 practitioner Practice locations: Cary, NC |
National Provider Directory
National Provider DirectoryLocations
351 Wellesley Trade Ln
Ste 202
Cary, NC 27519
Phone (877) 274-3417
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Fuquay Varina, NC
- NPI 1275765521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1609629112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 STABLE FERN DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 STABLE FERN DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263754",
"telephone_number": "510-316-5170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CADENCE NEUROPSYCHOLOGICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-06",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "510-316-5170",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.