Neuropsych Program PLLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

MD 00038336 Issued in WA

Legal business name

NEUROPSYCH PROGRAM PLLC

Practice address

1446 Spaulding Park Ste 303
Richland, WA 99352-4720

Phone

(509) 420-5060

Fax

(509) 420-5059

NPI assigned

Dec 31, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kishore S H M Varada, PA-C

Title

Chairman/Ceo

Phone

(509) 539-4273

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1811233414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 SPAULDING PARK STE 303",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524720",
            "telephone_number": "509-420-5060",
            "fax_number": "509-420-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 SPAULDING PARK STE 303",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524720",
            "telephone_number": "509-420-5060",
            "fax_number": "509-420-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCH PROGRAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "VARADA",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_middle_name": "S H M",
        "authorized_official_title_or_position": "CHAIRMAN/CEO",
        "authorized_official_telephone_number": "509-539-4273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "WA",
            "license": "MD 00038813",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "WA",
            "license": "MD 00038336",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA 10005331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maili Maria Elena Nelson, LMP
• Tara Lanae Nelson, BSN, RN
• Alexsandra Janna Nesterenko
• Patricia Neuman
• Andrew Neumann, DPT
• Neurosurgical Center Inc., P.S.
• Chen Li NG
• James NG, DDS
• Brendan Quoc-Anh Nguyen, PHARMD
• Hoang-Yen Thi Nguyen

• Sleep Medicine (Psychiatry & Neurology) Physician in Richland, WA
• Providers in Richland, WA by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.