Organization Active NPI

Fit-Minded, LLC

  • Clinical Neuropsychologist
  • Narberth, PA
National Provider Identifier
1821617804
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
FIT-MINDED, LLC
Practice address
101 Forrest Ave
Narberth, PA 19072-2213
Phone
(610) 716-8630
NPI assigned
Apr 10, 2020
Last updated
Apr 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Dr. Nora J Johnson, PSYD
Title
Authorized Official
Phone
(610) 716-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

101 Forrest Ave
Narberth, PA 19072-2213

Mailing address

108 Forrest Ave Apt 4
Narberth, PA 19072-2213
Phone (610) 716-8630

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL faunster23@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

101 Forrest Ave
Narberth, PA 19072
Phone (610) 716-8630

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1821617804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FORREST AVE APT 4",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722213",
            "telephone_number": "610-716-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FORREST AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722213",
            "telephone_number": "610-716-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT-MINDED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-716-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "faunster23@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Forrest Ave",
            "city": "Narberth",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190722213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.