Organization Active NPI

Neuropsychology Institute LLC

  • Clinical Neuropsychologist
  • Birmingham, AL
National Provider Identifier
1689792772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
386 Issued in AL
Legal business name
NEUROPSYCHOLOGY INSTITUTE LLC
Practice address
3800 Ridgeway Dr
Birmingham, AL 35209-5506
Phone
(205) 868-2090
Fax
(205) 868-2406
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Jeffery Boll, PHDNPI 1942305594
Title
Director
Phone
(205) 868-2090

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 386 AL Primary

Addresses

Primary practice location

3800 Ridgeway Dr
Birmingham, AL 35209-5506

Mailing address

3800 Ridgeway Dr
Birmingham, AL 35209-5506
Phone (205) 868-2090

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689792772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-868-2090",
            "fax_number": "205-868-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-868-2090",
            "fax_number": "205-868-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-868-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.