Neuropsychology Clinic PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071004929 Issued in IL

Legal business name

NEUROPSYCHOLOGY CLINIC PC

Practice address

3100 N Dries LN
Ste 303
Peoria, IL 61604-1265

Phone

(309) 686-9005

Fax

(309) 686-9020

NPI assigned

Dec 4, 2007

Last updated

May 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rodney P Kurth

Title

Office Manager

Phone

(309) 686-9005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1659553444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N DRIES LN",
            "address_2": "STE 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041265",
            "telephone_number": "309-686-9005",
            "fax_number": "309-686-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N DRIES LN",
            "address_2": "STE 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041265",
            "telephone_number": "309-686-9005",
            "fax_number": "309-686-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "KURTH",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-686-9005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071004929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kip Neuhoff, CRNA
• Neuro-Counseling PLLC
• Neurological Associates
• Neurology Clinic of Peoria SC
• Neuromed Healthcare PLLC
• Neurotherapy Institute, PLLC
• Mary Neville, DNP, CPNP-AC
• Whitney Raelene Neville, APN
• New Horizons Counseling Services, Inc.
• New Life Chiropractic of Peoria, LTD.

• Clinical Neuropsychologist in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.