NORTH FLORIDA NEUROPSYCHOLOGY, LLC


Address: 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475
Phone: 8507657292

NORTH FLORIDA NEUROPSYCHOLOGY, LLC (NPI# 1134731367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134731367
Entity Type Organization
Organization Name NORTH FLORIDA NEUROPSYCHOLOGY, LLC
Practice Address 1614 Mahan Center Blvd Ste 104
Tallahassee
FL 32308-5475
Mailing Address 2055 Thomasville Rd Apt C306
Tallahassee
FL 32308-0797
Practice Telephone 8507657292
Enumeration Date 2020-08-19
Last Update Date 2020-10-22
Authorized Official Name SCOTT PORTER (OWNER)
Authorized Official Telephone 8506311365
Authorized Official Credential LMHC, PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
North Florida Neuropsychology Doing Business As Name - Organization

Office Location

Street Address 1614 MAHAN CENTER BLVD STE 104
City TALLAHASSEE
State FL
Zip Code 32308-5475

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1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871110460 Thoughtwise LLC Clinical Neuropsychologist 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 2020-06-29
1093822876 Heather Lee Bradley Clinical Neuropsychologist 1408 N Piedmont Way, Tallahassee, FL 32308-7974 2006-08-25
1528689320 Allison Jane Moltisanti Clinical Neuropsychologist 1401 Centerville Rd Ste 504, Tallahassee, FL 32308-4640 2020-05-03
1780025635 Tallahassee Memorial Healthcare Inc Clinical Neuropsychologist 1401 Centerville Road, Suite 504, Tallahassee, FL 32308 2013-07-08
1407198229 Daniel Turpin Clinical Neuropsychologist 1401 Centerville Rd, #504, Tallahassee, FL 32308-4647 2013-03-19
1609112630 Lawanda Ford-johnson Clinical Neuropsychologist 1201 Hays St, Tallahassee, FL 32301-2699 2012-12-19
1700997137 Larry Curtis Kubiak Clinical Neuropsychologist 1616 Physicians Dr, Tallahassee, FL 32308-4619 2006-08-31
1841218443 Scott S Porter Clinical Neuropsychologist 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308-4470 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912512831 Joshua Rooks, Phd, LLC Clinical Neuropsychologist 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 2020-09-09
1457978991 Renew Psychiatric Care, LLC Clinical Neuropsychologist 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 2020-07-01
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1124667795 Jennifer Ann Barton Clinical Neuropsychologist 3411 Day Ave, Miami, FL 33133-5030 2019-12-31
1952947434 Dagmar E Nunez Clinical Neuropsychologist 1351 Seagrape Cir, Weston, FL 33326-2726 2019-11-20
1821632779 Joshua Daniel Rooks Clinical Neuropsychologist 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 2019-11-04
1427605088 Global Wellness LLC Clinical Neuropsychologist 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 2019-08-19
1528627882 Anchor Multispecialty Group Clinical Neuropsychologist 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 2019-06-11
1639736473 Aldrich Chan Clinical Neuropsychologist 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 2019-05-28
1629532353 Veronica A Thornton Clinical Neuropsychologist 1573 W Fairbanks Ave Ste 220, Winter Park, FL 32789-4679 2019-01-28
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Competitor

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City TALLAHASSEE
Zip Code 32308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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