NPIMap

Organization Active NPI

Axiscare Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Arlington Heights, IL
National Provider Identifier
1669812756
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
AXISCARE NEUROPSYCHOLOGY, LLC
Practice address
2010 S Arlington Heights Rd Ste 219
Arlington Heights, IL 60005-4144
Phone
(630) 524-9230
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320

Other names 1

  • Fiducia, Bowen & Associates in Neuropsychology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130827000837 IL Part B Supplier - Clinic/Group Practice 2860635513 Receives reassigned benefits from 2 practitioners
Practice locations: Naperville, IL; Morris, IL; Lombard, IL; Lemont, IL; La Grange Park, IL; La Grange, IL; Woodridge, IL; Niles, IL…

National Provider Directory

National Provider Directory

Locations

825 Carillon Dr
Bartlett, IL 60103
Phone (630) 372-1983

2580 Foxfield Rd
Ste 1014
St Charles, IL 60174
Phone (630) 524-9230

2580 Foxfield Rd
#1014
St Charles, IL 60174
Phone (630) 524-9230

3540 Seven Bridges Dr
Woodridge, IL 60517
Phone (630) 349-0424

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • 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.