MEMPHIS NEUROPSYCHOLOGY LLC (NPI# 1215240890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215240890 |
| Entity Type | Organization |
| Organization Name | MEMPHIS NEUROPSYCHOLOGY LLC |
| Practice Address |
8000 Centerview Pkwy Suite 103 Cordova TN 38018-4227 |
| Practice Telephone | 9017376677 |
| Practice Fax Number | 9017585066 |
| Mailing Telephone | 9017376677 |
| Mailing Fax Number | 9017585066 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | DR. SARAH D. RICHIE (PHD/OWNER) |
| Authorized Official Telephone | 9017376677 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
8000 CENTERVIEW PKWY SUITE 103 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681070 | Carlos E Rivera-tavarez | Physical Medicine & Rehabilitation | 8000 Centerview Pkwy, Cordova, TN 38018-4227 | 2005-10-03 |
| 1174078067 | Wesley Neurology Clinic, PC | Clinic/Center | 8000 Centerview Pkwy, Suite 101, Cordova, TN 38018-4227 | 2016-08-20 |
| 1811340722 | Wesley Neurology Clinic, PC | Clinic/Center | 8000 Centerview Pkwy, Suite 305 & 101, Cordova, TN 38018-4227 | 2016-07-14 |
| 1497148704 | Sleep Doctors of Memphis | Internal Medicine | 8000 Centerview Pkwy, Suite 115, Cordova, TN 38018-4227 | 2015-03-11 |
| 1568861037 | Black Holdings Group,llc | Clinic/Center | 8000 Centerview Pkwy, Suite 104, Cordova, TN 38018-4227 | 2014-08-20 |
| 1144533712 | Sarah D. Richie | Clinical Neuropsychologist | 8000 Centerview Pkwy, Suite 103, Cordova, TN 38018-4227 | 2010-07-23 |
| 1871713537 | David Lanier Pritchard | Psychiatry & Neurology | 8000 Centerview Pkwy, #300, Cordova, TN 38018-4227 | 2007-04-26 |
| 1376760439 | Cara Beth Pendley | Psychiatry & Neurology | 8000 Centerview Pkwy, Suite 300, Cordova, TN 38018-4227 | 2007-04-19 |
| 1477621209 | Robert Henry Segal | Specialist | 8000 Centerview Pkwy, Suite 300, Cordova, TN 38018-4227 | 2006-12-01 |
| 1376569210 | Douglas Todd Cannon | Physical Medicine & Rehabilitation | 8000 Centerview Pkwy, Suite 500, Cordova, TN 38018-4227 | 2006-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568444511 | Dale S Foster | Clinical Neuropsychologist | 758 Walnut Knoll Ln, Suite 101, Cordova, TN 38018-3112 | 2005-11-16 |
| 1144533712 | Sarah D. Richie | Clinical Neuropsychologist | 8000 Centerview Pkwy, Suite 103, Cordova, TN 38018-4227 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013391960 | Victoria Villicana | Clinical Neuropsychologist | 2417 Bayview Dr, Nashville, TN 37217-3437 | 2015-07-09 |
| 1891177812 | Penny S. Tyler | Clinical Neuropsychologist | 205 N 8th St Unit 102, Nashville, TN 37206-4099 | 2015-06-25 |
| 1295120491 | Elise Baldwin Bradley | Clinical Neuropsychologist | 1161 21st Avenue S, Nashville, TN 37232 | 2015-04-03 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1073958476 | Jessica E. Barclay | Clinical Neuropsychologist | Encompass Health Rehabilitation Hospital of Franklin, 1000 Physicians Way, Outpatient Offices, Franklin, TN 37067 | 2013-04-30 |
| 1508115668 | Michael Shapiro | Clinical Neuropsychologist | 4219 Hillsboro Pike Ste 306, Nashville, TN 37215-3332 | 2012-09-05 |
| 1922310176 | Yasmeen Iqbal Neal | Clinical Neuropsychologist | 4235 Hillsboro Pike Ste 300, Nashville, TN 37215-3344 | 2010-07-03 |
| 1306162326 | Neelam Jain | Clinical Neuropsychologist | 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 | 2010-04-15 |
| 1811189095 | Sarah Kathryn Steele | Clinical Neuropsychologist | 204 Iris Dr, Hendersonville, TN 37075-2206 | 2007-08-13 |
| 1174727309 | Neurobehavioral Associates | Clinical Neuropsychologist | 2 Worth Cir Ste 2, Johnson City, TN 37601-4306 | 2007-06-12 |
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| 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.