NPIMap

Organization Active NPI

Neuropsychology & Complementary Medicine Inc.

  • Clinical Neuropsychologist
  • Fredericksburg, VA
National Provider Identifier
1831545649
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810004462 Issued in VA
Legal business name
NEUROPSYCHOLOGY & COMPLEMENTARY MEDICINE INC.
Practice address
608 William St
Fredericksburg, VA 22401-5749
Phone
(540) 999-6221
Fax
(866) 481-8299
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Scott Patrick Ward
Title
Cfo
Phone
(540) 847-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 0810004462 VA Primary

Addresses

Primary practice location

608 William St
Fredericksburg, VA 22401-5749

Mailing address

608 William St
Fredericksburg, VA 22401-5749
Phone (540) 999-6221

Other names 1

  • NaCMed Other name

National Provider Directory

National Provider Directory

Locations

608 William St
Fredericksburg, VA 22401
Phone (540) 999-6221

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1831545649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WILLIAM ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015749",
            "telephone_number": "540-999-6221",
            "fax_number": "866-481-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WILLIAM ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015749",
            "telephone_number": "540-999-6221",
            "fax_number": "866-481-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY & COMPLEMENTARY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-847-1777"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810004462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NaCMed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.