Active NPI
Neuropsychological Consultants
- Clinical Psychologist
- Fort Wayne, IN
National Provider Identifier
1629025523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NEUROPSYCHOLOGICAL CONSULTANTS
- Practice address
- 1818 Carew St
Suite 120
Fort Wayne, IN 46805-4788 - Phone
- (260) 385-1646
- Fax
- (260) 436-2135
- NPI assigned
- May 27, 2006
- 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
- Heidi Musgrave, PH.D
- Title
- President
- Phone
- (260) 409-2099
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 Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1818 Carew St
Suite 120
Fort Wayne, IN 46805-4788
Mailing address
6435 W Jefferson Blvd
PMB 145
Fort Wayne, IN 46804-6203
Phone (260) 409-2099
National Provider Directory
National Provider Directory- Tax ID family
- Neuropsychological Consultants
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Fort Wayne, IN
- NPI 1407834575
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 Psychologist
- Fort Wayne, IN
- NPI 1639161532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629025523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD",
"address_2": "PMB 145",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-409-2099",
"fax_number": "260-436-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 CAREW ST",
"address_2": "SUITE 120",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054788",
"telephone_number": "260-385-1646",
"fax_number": "260-436-2135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHOLOGICAL CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MUSGRAVE",
"authorized_official_first_name": "HEIDI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-409-2099",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.