Active NPI
Neuropsych Roanoke LLC
- Clinical Psychologist
- Roanoke, VA
National Provider Identifier
1942187430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NEUROPSYCH ROANOKE LLC
- Practice address
- 3390 Colonial Ave
Roanoke, VA 24018-3740 - Phone
- (757) 383-5456
- NPI assigned
- Aug 18, 2025
- 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
- Ella H Pecsok
- Title
- Owner
- Phone
- (757) 383-5456
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3390 Colonial Ave
Roanoke, VA 24018-3740
Mailing address
3205 Northshire CT
Roanoke, VA 24014-1102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1755475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1942187430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 NORTHSHIRE CT",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 COLONIAL AVE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183740",
"telephone_number": "757-383-5456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCH ROANOKE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "PECSOK",
"authorized_official_first_name": "ELLA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-383-5456"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.