Axiscare Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

AXISCARE NEUROPSYCHOLOGY, LLC

Doing business as

Fiducia, Bowen & Associates in Neuropsychology

Practice address

2010 S Arlington Heights Rd Ste 219
Arlington Heights, IL 60005-4144

Phone

(630) 524-9230

NPI assigned

Jul 3, 2013

Last updated

Sep 17, 2024By 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

Neal R Bowen, PSYDNPI 1063585933

Title

Owner

Phone

(630) 524-9230

Specialties & licenses 1

Addresses

Other names 1

• Fiducia, Bowen & Associates in Neuropsychology Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Neal Ross Bowen, PSY.D.

  • Clinical Neuropsychologist
  • Arlington Heights, IL
  • NPI 1063585933
  Medicare reassignment Care Compare group NPD Authorized official
• Karen Burcham, PHD

  • Clinical Neuropsychologist
  • Arlington Heights, IL
  • NPI 1750091773
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1669812756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320",
            "fax_number": "219-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD STE 219",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054144",
            "telephone_number": "630-524-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXISCARE NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-524-9230",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fiducia, Bowen & Associates in Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Neuropsychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.