Mental Edge Neuropsychology

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4026 Issued in AZ

Legal business name

MENTAL EDGE NEUROPSYCHOLOGY

Practice address

16838 E Palisades Blvd
Suite C153
Fountain Hills, AZ 85268-3786

Phone

(602) 510-9217

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

John W Denboer, PH.D.

Title

Neuropsychologist

Phone

(602) 510-9217

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1881079184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850010967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD",
            "address_2": "SUITE C153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683786",
            "telephone_number": "602-510-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL EDGE NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "DENBOER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "602-510-9217",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Medeiros
• Brianna Graciela Mejia-Aguirre
• Carolyn Melyon, MOTR/L
• Mary Memken
• Malia R Menon, OTD
• Rosa Maria Mercado, M.D.
• Minerva C Merriam, MASSAGES THERAPIST
• Rachel Messer, M.S., CCC-SLP
• Emily Nicole Meyers
• Michael J Sekosky

• Clinical Neuropsychologist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.