River City Neuropsychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2840 Issued in TN

Legal business name

RIVER CITY NEUROPSYCHOLOGY, PLLC

Practice address

1661 International Dr., Suite 400
Memphis, TN 38120

Phone

(901) 410-9524

Fax

(901) 432-2415

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Neelam Jain, PHD

Title

Clinical Neuropsychologist

Phone

(901) 410-9524

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1649768870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 INTERNATIONAL PLACE DR STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201431",
            "telephone_number": "901-410-9524",
            "fax_number": "901-432-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 INTERNATIONAL DR., SUITE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-410-9524",
            "fax_number": "901-432-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "901-410-9524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4273584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3033849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Mason Riss, LCSW
• William H Rittenberry, MD
• Julie L Ritter, MS
• Pamela D Ritzline
• Marianna Rivas-Coppola, M.D
• River City Pathology Group, Inc.
• River City Pediatrics, P.C.
• Nicole Rivera
• Riverdale Assisted Living Facility
• Riverdale Estates

• Clinical Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.