Organization Active NPI

Neuropsychological Services, LLC

  • Psychologist
  • Birmingham, AL
National Provider Identifier
1629115373
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
647 Issued in AL
Legal business name
NEUROPSYCHOLOGICAL SERVICES, LLC
Practice address
1 W Lakeshore Dr
Suite 201
Birmingham, AL 35209-0500
Phone
(205) 602-9980
Fax
(205) 592-8835
NPI assigned
Jan 31, 2007
Last updated
Jul 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Dr. William B Meneese, PHDNPI 1104939610
Title
President
Phone
(205) 602-9980

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)CodeLicenseStatePrimary
Psychologist 103T00000X 647 AL Primary

Addresses

Primary practice location

1 W Lakeshore Dr
Suite 201
Birmingham, AL 35209-0500

Mailing address

PO Box 660685
Birmingham, AL 35266-0685
Phone (205) 979-5882

Other identifiers 1

IdentifierTypeStateIssuer
529905250MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110809000340 AL Part B Supplier - Clinic/Group Practice 8628247632 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

1 W Lakeshore Dr
Ste 201
Birmingham, AL 35209
Phone (205) 602-9980

85 Bagby Dr
#302
Birmingham, AL 35209
Phone (205) 602-9980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1629115373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660685",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660685",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352090500",
            "telephone_number": "205-602-9980",
            "fax_number": "205-592-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "MENEESE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-602-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529905250",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.