Active NPI
Neuropsychology Center for Attention, Behavior & Learning, LLC
- Clinical Neuropsychologist
- Bloomington, IL
National Provider Identifier
1922375377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 071-007767
- Legal business name
- NEUROPSYCHOLOGY CENTER FOR ATTENTION, BEHAVIOR & LEARNING, LLC
- Practice address
- 103 N Regency Dr
Suite 1S
Bloomington, IL 61701-3503 - Phone
- (309) 661-8046
- NPI assigned
- Nov 29, 2011
- 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
- Dennis W Huffman
- Title
- Officemanager
- Phone
- (309) 573-8468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 071-007767 | IL | Primary |
Addresses
Primary practice location
103 N Regency Dr
Suite 1S
Bloomington, IL 61701-3503
Mailing address
103 N Regency Dr
Suite 1S
Bloomington, IL 61701-3503
Phone (309) 661-8046
Other names 1
- The ABLE Center
National Provider Directory
National Provider DirectoryLocations
103 N Regency Dr
Ste 1S
Bloomington, IL 61701
Phone (309) 661-8046
3011 Village Office Pl
Ste C2
Champaign, IL 61822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1245018027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1922375377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N REGENCY DR",
"address_2": "SUITE 1S",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013503",
"telephone_number": "309-661-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N REGENCY DR",
"address_2": "SUITE 1S",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013503",
"telephone_number": "309-661-8046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHOLOGY CENTER FOR ATTENTION, BEHAVIOR & LEARNING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-29",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "HUFFMAN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OFFICEMANAGER",
"authorized_official_telephone_number": "309-573-8468"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071-007767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The ABLE Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.