THE NEUROBEHAVIORAL GROUP, A PSYCHOLOGICAL CORPORATION (NPI# 1215970041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215970041 |
| Entity Type | Organization |
| Organization Name | THE NEUROBEHAVIORAL GROUP, A PSYCHOLOGICAL CORPORATION |
| Other Organization Name | FULLERTON NEUROPSYCHOLOGICAL SERVICES |
| Practice Address |
1400 N Harbor Blvd Suite 440 Fullerton CA 92835-4126 |
| Practice Telephone | 7146819070 |
| Practice Fax Number | 7147734788 |
| Mailing Telephone | 7146819070 |
| Mailing Fax Number | 7147734788 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EILEEN SWAN KANG (CFO) |
| Authorized Official Telephone | 7146819070 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fullerton Neuropsychological Services | Doing Business As Name - Organization |
| Street Address |
1400 N HARBOR BLVD SUITE 440 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114335239 | Hina Sidhu, M.d., Inc. | Psychiatry & Neurology | 1400 N Harbor Blvd, Suite 603, Fullerton, CA 92835-4126 | 2014-08-01 |
| 1790044626 | Dagny Zhu Luong | Ophthalmology | 1400 N Harbor Blvd, Fullerton, CA 92835-4126 | 2012-05-12 |
| 1851540009 | Jaseng Center Corporation | Acupuncturist | 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835-4126 | 2008-09-11 |
| 1063677896 | Uma P Rao, Md., Inc | Internal Medicine | 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835-4126 | 2008-07-21 |
| 1497949184 | Jon R. Sherman Md., Inc | Specialist | 1400 N Harbor Blvd, Suite 100, Fullerton, CA 92835-4126 | 2007-09-05 |
| 1780891333 | Centers for Neurological Surgery | Neurological Surgery | 1400 N Harbor Blvd, Ste 440, Fullerton, CA 92835-4192 | 2007-05-16 |
| 1235269770 | Heartview Diagnostic Corp | Technician, Other | 1400 N Harbor Blvd, Ste. # 104, Fullerton, CA 92835-4126 | 2007-03-06 |
| 1043371479 | Uma P Rao | Internal Medicine | 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835-4126 | 2006-12-12 |
| 1477628923 | Margaret Mary Slaven | Clinical Neuropsychologist | 1400 N Harbor Blvd, Suite 440, Fullerton, CA 92835-4126 | 2006-11-21 |
| 1255425054 | Priscilla Polti Armstrong | Clinical Neuropsychologist | 1400 N Harbor Blvd, Suite 440, Fullerton, CA 92835-4126 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| 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 |
|---|---|---|---|---|
| 1598070773 | Victoria Gutierrez Smith | Clinical Neuropsychologist | 1501 N Harbor Blvd, Suite 211, Fullerton, CA 92835-3811 | 2010-08-12 |
| 1972538114 | Dennis Edward Lindsey | Clinical Neuropsychologist | 801 E Chapman Ave Ste 213, Fullerton, CA 92831-3847 | 2006-07-12 |
| 1821035585 | Jeffery S. Katz | Clinical Neuropsychologist | 1440 N Harbor Blv, Ste 800, Fullerton, CA 92835-4142 | 2006-06-01 |
| 1669432589 | Tammy Ann Ouellette | Clinical Neuropsychologist | 1370 Brea Blvd, Suite 210, Fullerton, CA 92835-4125 | 2006-03-24 |
| 1336515634 | Marisa Sanchez | Clinical Neuropsychologist | 385 Imperial Hwy, Fullerton, CA 92835-1040 | 2015-08-20 |
| 1538343082 | Elaine A. Burke | Clinical Neuropsychologist | 2050 Youth Way, Fullerton, CA 92835-3819 | 2007-12-19 |
| 1477628923 | Margaret Mary Slaven | Clinical Neuropsychologist | 1400 N Harbor Blvd, Suite 440, Fullerton, CA 92835-4126 | 2006-11-21 |
| 1255425054 | Priscilla Polti Armstrong | Clinical Neuropsychologist | 1400 N Harbor Blvd, Suite 440, Fullerton, CA 92835-4126 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
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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.