Center for Neuropsychological Services CNS

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY9518 Issued in FL

Legal business name

CENTER FOR NEUROPSYCHOLOGICAL SERVICES CNS

Practice address

1817 Lewis Turner Blvd
Fort Walton Beach, FL 32547

Phone

(850) 499-0759

Fax

(833) 375-3114

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Ana Teresa Santana, PSY.D.

Title

Owner

Phone

(954) 895-0409

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1871004960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243308",
            "telephone_number": "954-579-4096",
            "fax_number": "833-375-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-499-0759",
            "fax_number": "833-375-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S Pine Island Rd Ste 150A",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333243918",
            "country_code": "US",
            "telephone_number": "954-895-0409",
            "fax_number": "954-206-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "292 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333243308",
            "country_code": "US",
            "telephone_number": "954-579-4096",
            "fax_number": "833-375-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR NEUROPSYCHOLOGICAL SERVICES CNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-895-0409",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY9518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.