Neuro Assessment Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEURO ASSESSMENT SERVICES PLLC

Practice address

2081 Calistoga Dr Ste 3N
New Lenox, IL 60451-4834

Phone

(815) 277-9906

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Pamela R CookNPI 1932506458

Title

Owner

Phone

(815) 277-9906

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela R Cook, PSYD

  • Clinical Psychologist
  • New Lenox, IL
  • NPI 1932506458
  Medicare reassignment Care Compare group NPD Authorized official
• Kirsten L Mitchell, PSYD

  • Clinical Psychologist
  • New Lenox, IL
  • NPI 1053460634
  Medicare reassignment Care Compare group NPD
• Sarah E Lamie, L.S.W, MSW

  • Clinical Social Worker
  • Bourbonnais, IL
  • NPI 1306023320
  Medicare reassignment NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1922745546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR STE 3N",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514834",
            "telephone_number": "815-277-9906",
            "fax_number": "815-277-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR STE 3N",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514834",
            "telephone_number": "815-277-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO ASSESSMENT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-277-9906"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Sue Neubauer, PHARM.D.
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• New Lenox Fire Protection District
• New Lenox School District 122

• Clinical Psychologist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.

Verify at the official NPI Registry.