Neuroscience Associates of Bowie

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NEUROSCIENCE ASSOCIATES OF BOWIE

Practice address

14300 Gallant Fox LN
107
Bowie, MD 20715-4003

Phone

(301) 852-3479

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Nicole Hudson-Henry, PSY.DNPI 1336069749

Title

Owner

Phone

(301) 852-3479

Specialties & licenses 1

Addresses

Other names 1

• Neusab Other name

Locations

Practitioners 1

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

• Patricia Nicole Hudson-Henry, PSYD

  • Psychologist
  • Bowie, MD
  • NPI 1336069749
  NPD (past) Authorized official

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1821532813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12416 SKYLARK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152121",
            "telephone_number": "301-852-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN",
            "address_2": "107",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "301-852-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE ASSOCIATES OF BOWIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "HUDSON-HENRY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-852-3479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neusab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Neuropsychologist in Bowie, MD
• Providers in Bowie, MD by specialty
• Clinical Neuropsychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.