James M Fuendeling, PHD & Associates

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

01-15P Issued in AR

Legal business name

JAMES M FUENDELING, PHD & ASSOCIATES

Practice address

840 N Pollard Ave
Fayetteville, AR 72701

Phone

(479) 422-4489

Fax

(479) 444-6770

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James M Fuendeling, PHD

Title

Office Manager

Phone

(479) 422-4489

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1992850606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N POLLARD AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-422-4489",
            "fax_number": "479-444-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N POLLARD AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-422-4489",
            "fax_number": "479-444-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M FUENDELING, PHD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "FUENDELING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-422-4489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AR",
            "license": "01-15P",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "01-15P",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "01-05P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5X899",
            "identifier": "BLUECROSS BLUESHIELD",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid Jacobs, PH.D.
• Lois Faye Jacoby, LCSW, LADC
• Joan M Jaggers, CRNA
• Robert C. Jaggers, M.D.
• James Blair Blankenship, PA
• James M. Tinnin, D.D.S., M.S.D, P.a.
• Braden James
• Kiana James
• Megan Evelyn Mayo James, PT, DPT
• Patti Renee James, RN, NNP-BC

• All providers in Fayetteville, AR
• Clinical Neuropsychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.