Comprehensive Neurobehavioral Services, P.a.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 9339 Issued in FL

Legal business name

COMPREHENSIVE NEUROBEHAVIORAL SERVICES, P.A.

Practice address

2142 Alt 19
Ste C1
Palm Harbor, FL 34683-5361

Phone

(916) 716-9105

NPI assigned

Jan 23, 2016

Organization subpart

No

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

Authorized official

Name

Shannon Marie Foster, PH.D.

Title

President

Phone

(916) 716-9105

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1932566882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 ALT 19",
            "address_2": "STE C1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 ALT 19",
            "address_2": "STE C1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835361",
            "telephone_number": "916-716-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROBEHAVIORAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-716-9105",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 9339",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY 9339",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; 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.