Estes Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

20042177A Issued in IN

Legal business name

ESTES NEUROPSYCHOLOGY, LLC

Practice address

1655 N Gladstone Ave Ste D
Columbus, IN 47201-5380

Phone

(812) 376-7981

Fax

(812) 376-8584

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Donella Marie Turner

Title

Office Manager

Phone

(812) 376-7981

Specialties & licenses 1

Addresses

Other names 1

• Bradley Estes Former legal business name

Locations

Practitioners 2

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

• Bradley Wayne Estes, PSY.D.

  • Clinical Neuropsychologist
  • Columbus, IN
  • NPI 1013130871
  NPD (past)
• Jeremy B. Hertza, PSY.D

  • Clinical Neuropsychologist
  • Augusta, GA
  • NPI 1528237955
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1669641114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N GLADSTONE AVE STE D",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015380",
            "telephone_number": "812-376-7981",
            "fax_number": "812-376-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N GLADSTONE AVE STE D",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015380",
            "telephone_number": "812-376-7981",
            "fax_number": "812-376-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTES NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DONELLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-376-7981"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20042177A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Estes",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Timothy Erney, PTA
• Brenda Sue Ernst, NP
• Taylor Marie Ernstes, RBT
• Tara Lauren Ertel, PT, DPT
• Estes Neuropsychology
• Bradley Wayne Estes, PSY.D.
• Heather Estes
• Melissa Ann Etchison, N.P,
• Amberlea Eubanks, RBT
• Evans Psychological and Counseling Services, LLC

• Clinical Neuropsychologist in Columbus, IN
• Providers in Columbus, IN by specialty
• Clinical Neuropsychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.