Organization Active NPI

Neurohealth Specialists, a Psychological Corporation

  • Clinical Neuropsychologist
  • Seal Beach, CA
National Provider Identifier
1932963774
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROHEALTH SPECIALISTS, A PSYCHOLOGICAL CORPORATION
Practice address
3020 Old Ranch Pkwy Ste 328
Seal Beach, CA 90740-2751
Phone
(562) 477-5674
Fax
(562) 800-6105
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Anita H. Hamilton, PHDNPI 1306961644
Title
Owner
Phone
(562) 477-5674

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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

3020 Old Ranch Pkwy Ste 328
Seal Beach, CA 90740-2751

Mailing address

3020 Old Ranch Pkwy Ste 328
Seal Beach, CA 90740-2751
Phone (562) 477-5674

National Provider Directory

National Provider Directory

Locations

3020 Old Ranch Pkwy
Ste 328
Seal Beach, CA 90740
Phone (562) 477-5674

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": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1932963774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 OLD RANCH PKWY STE 328",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402751",
            "telephone_number": "562-477-5674",
            "fax_number": "562-800-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 OLD RANCH PKWY STE 328",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402751",
            "telephone_number": "562-477-5674",
            "fax_number": "562-800-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROHEALTH SPECIALISTS, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-477-5674",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.