Pediatric Neuropsychological Services, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, PLLC

Practice address

6517 W Plano Pkwy Ste C
Plano, TX 75093-0040

Phone

(469) 887-0208

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Raquel KirmseNPI 1851953434

Title

Neuropsychologist

Phone

(954) 224-8084

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Raquel Kirmse, PSYD

  • Clinical Neuropsychologist
  • Winter Park, FL
  • NPI 1851953434
  NPD Authorized official

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1942976774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5682 LAKE DISTRICT DR UNIT 201",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 W PLANO PKWY STE C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930040",
            "telephone_number": "469-887-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "KIRMSE",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "954-224-8084",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dental Services
• Pediatric Emergency Medicine Group LLP
• Pediatric Endocrinology of North Texas, PLLC
• Pediatric Hospital Physicians of North Texas, PA
• Pediatric Imaging Associates LLC
• Pediatric Offices at Willow Bend
• Pediatric Offices at Willow Bend Association
• Pediatric Ophthalmology PA
• Pediatric Ophthalmology Partners of Texas PLLC
• Pediatric Sleep Institute

• Clinical Neuropsychologist in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.