Organization Active NPI

Blue Ridge Neuropsychological Associates, P.a.

  • Clinical Neuropsychologist
  • Asheville, NC
National Provider Identifier
1881795144
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
BLUE RIDGE NEUROPSYCHOLOGICAL ASSOCIATES, P.A.
Practice address
6 Herman Avenue Ext
Suite a
Asheville, NC 28803-9106
Phone
(828) 684-9123
NPI assigned
Sep 26, 2006
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mark Randolph Hill, PH.D.NPI 1194703066
Title
Owner/President
Phone
(828) 684-9123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

6 Herman Avenue Ext
Suite a
Asheville, NC 28803-9106

Mailing address

6 Herman Avenue Ext
Suite a
Asheville, NC 28803-9106

Other identifiers 2

IdentifierTypeStateIssuer
6000174MedicaidNC
013WYOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

6 Herman Avenue Ext
#A
Asheville, NC 28803
Phone (828) 684-9123

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1881795144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HERMAN AVENUE EXT",
            "address_2": "SUITE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HERMAN AVENUE EXT",
            "address_2": "SUITE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039106",
            "telephone_number": "828-684-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE NEUROPSYCHOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "828-684-9123",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000174",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "013WY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.