Ingenium Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

35SI00498300 Issued in NJ

Legal business name

INGENIUM NEUROPSYCHOLOGY LLC

Practice address

51 Chestnut St
Suite 4
Ridgewood, NJ 07450-3873

Phone

(617) 895-8970

NPI assigned

Feb 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Joanna Marie Salmon, PHD, MBA

Title

Clinical Neuropsychologist

Phone

(617) 895-8970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487980800000",
    "number": "1982143913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHESTNUT ST",
            "address_2": "SUITE 4",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503873",
            "telephone_number": "617-895-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHESTNUT ST",
            "address_2": "SUITE 4",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503873",
            "telephone_number": "617-895-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGENIUM NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-25",
        "status": "A",
        "authorized_official_last_name": "SALMON",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "617-895-8970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00498300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ianzano, D.M.D., M.S.D.
• Sophia Pantinople Igot
• Catherine Illenye, LCSW
• Matthew Jospeh Imbriani, MSN, FNP-C
• Julian Infantino
• Innovative Medical Partners
• Katherine S Inoyama, MD
• Integra Medical Group LLC
• Integrative Acupuncture Limited Liability Company
• Mohammed Waqas Iqbal, DDS

• Clinical Neuropsychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.