Pediatric Neuropsychology Associates PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

944 Issued in OK

Legal business name

PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC

Practice address

3330 NW 56TH St
Suite 305
Oklahoma City, OK 73112-4479

Phone

(405) 713-7065

Fax

(405) 713-7064

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lori Holmquist-Day, PHD

Title

Pediatric Neuropsychologist

Phone

(405) 713-7065

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1760744718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-713-7065",
            "fax_number": "405-713-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-713-7065",
            "fax_number": "405-713-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "HOLMQUIST-DAY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PEDIATRIC NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "405-713-7065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OK",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200013880B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dental Partners PLLC
• Pediatric Dentistry of Oklahoma
• Pediatric ENT of Oklahoma PLLC
• Pediatric Intensive Care Services Inc
• Pediatric Multispecialty Group PLLC
• Pediatrix Medical Group of Oklahoma, P.C.
• Pedorthic Footcare of Oklahoma
• Dominic M Pedulla, M.D.
• Carol A Peek
• Lauren Mariah Peek, CNA

• Clinical Neuropsychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Neuropsychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.