Active NPI
Neuropsychological and Memory Evaluations of Jupiter
- Clinical Neuropsychologist
- Jupiter, FL
National Provider Identifier
1902690548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- NEUROPSYCHOLOGICAL AND MEMORY EVALUATIONS OF JUPITER
- Practice address
- 900 E Indiantown Rd Ste 310
Jupiter, FL 33477-5153 - Phone
- (413) 588-8419
- NPI assigned
- Apr 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Fearing, PHD
- Title
- Owner/Manager
- Phone
- (413) 588-8419
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
900 E Indiantown Rd Ste 310
Jupiter, FL 33477-5153
Mailing address
12601 S Gardens Dr Apt 105
Palm Beach Gardens, FL 33418-5886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1744070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1902690548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12601 S GARDENS DR APT 105",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334185886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E INDIANTOWN RD STE 310",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775153",
"telephone_number": "413-588-8419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHOLOGICAL AND MEMORY EVALUATIONS OF JUPITER",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "FEARING",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "413-588-8419",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.