Neuropsychology & Memory Center, P.a.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 7020 Issued in FL

Legal business name

NEUROPSYCHOLOGY & MEMORY CENTER, P.A.

Practice address

4521 Executive Dr
Suite # 204
Naples, FL 34119-9037

Phone

(239) 592-1771

Fax

(239) 592-0258

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Jody E. Talbott, PH.D.NPI 1861475659

Title

Owner President

Phone

(239) 592-1771

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jody E. Talbott, PH.D.

  • Clinical Psychologist
  • Naples, FL
  • NPI 1861475659
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1619902103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 EXECUTIVE DR",
            "address_2": "SUITE # 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199037",
            "telephone_number": "239-592-1771",
            "fax_number": "239-592-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 EXECUTIVE DR",
            "address_2": "SUITE # 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199037",
            "telephone_number": "239-592-1771",
            "fax_number": "239-592-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY & MEMORY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "239-592-1771",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 7020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U4063Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neuro-Tech Inc
• Neurocritical Care Specialists Inc
• Neurofenix Medical Group of Florida, Inc.
• Neurology Clinics & Research Center PA
• Neurology Office Joseph Kandel MD & Associates, PLLC
• Neuroscience and Spine Associates PL
• Neuroscience and Spine Associates PL
• Neuroscience and Spine Associates PL
• Neuroscience and Spine Associates PL
• Neuroscience and Spine Associates PL

• Clinical Neuropsychologist in Naples, FL
• Providers in Naples, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.