Organization Active NPI

Neurocognitive Assessment Center, PLLC

  • Clinical Neuropsychologist
  • Austin, TX
National Provider Identifier
1710352828
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
37109 Issued in TX
Legal business name
NEUROCOGNITIVE ASSESSMENT CENTER, PLLC
Practice address
6611 River Place Blvd
Ste 203
Austin, TX 78730-1162
Phone
(512) 827-8406
Fax
(512) 842-9775
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Melissa Choi, PH.D.NPI 1821492372
Title
Ceo/Clinical Neuropsychologist
Phone
(512) 827-8406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 37109 TX Primary

Addresses

Primary practice location

6611 River Place Blvd
Ste 203
Austin, TX 78730-1162

Mailing address

6611 River Place Blvd
Ste 203
Austin, TX 78730-1162
Phone (512) 827-8406

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1710352828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD",
            "address_2": "STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301162",
            "telephone_number": "512-827-8406",
            "fax_number": "512-842-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD",
            "address_2": "STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301162",
            "telephone_number": "512-827-8406",
            "fax_number": "512-842-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCOGNITIVE ASSESSMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO/CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "512-827-8406",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.