Organization Active NPI

Neuropsychology Center for Attention, Behavior & Learning, LLC

  • Clinical Neuropsychologist
  • Bloomington, IL
National Provider Identifier
1922375377
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071-007767 Issued in IL
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

Updated by the provider on Jan 15, 2015

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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.