Neuroeducational Assessment Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEUROEDUCATIONAL ASSESSMENT SERVICES LLC

Practice address

1302 S Shields St Unit A2-1
Fort Collins, CO 80521-4803

Phone

(970) 576-1097

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Edythe Nicole Crawford, PH.D.NPI 1821561697

Title

Owner

Phone

(970) 576-1097

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Edythe Nicole Crawford, PH.D.

  • Clinical Psychologist
  • Fort Collins, CO
  • NPI 1821561697
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1659090660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 SANDRA DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805348487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S SHIELDS ST UNIT A2-1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214803",
            "telephone_number": "970-576-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROEDUCATIONAL ASSESSMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "EDYTHE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-576-1097",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.neuroedassessment.com/",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1302 S Shields St Unit A2-1",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805214803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.