RIVER CITY NEUROPSYCHOLOGY, PLLC (NPI# 1649768870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649768870 |
| Entity Type | Organization |
| Organization Name | RIVER CITY NEUROPSYCHOLOGY, PLLC |
| Practice Address |
1661 International Dr., Suite 400 Memphis TN 38120 |
| Mailing Address |
1661 International Place Dr Ste 400 Memphis TN 38120-1431 |
| Practice Telephone | 9014109524 |
| Practice Fax Number | 9014322415 |
| Mailing Telephone | 9014109524 |
| Mailing Fax Number | 9014322415 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | DR. NEELAM JAIN (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 9014109524 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2840 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 4273584 | 01 | |
| CIGNA | 3033849 | 01 |
| Street Address |
1661 INTERNATIONAL DR., SUITE 400 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| 1700101441 | Zachary Corr | Urology | 6029 Walnut Grove Rd Ste 300, Memphis, TN 38120 | 2010-04-06 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805031 | Jasmine Jones | Psychologist | 516 Tennessee St Ste 225, Memphis, TN 38103-4717 | 2019-08-09 |
| 1265950919 | Memphis Center for Mindful Living, LLC | Psychologist | 4646 Poplar Ave Ste 435, Memphis, TN 38117-4443 | 2017-09-01 |
| 1053869354 | Kimberly Noel Fleming | Psychologist | 512 Alexander St, Memphis, TN 38111-4310 | 2016-09-14 |
| 1003230350 | Kyong Han | Psychologist | 6401 Poplar Ave Ste 420, Memphis, TN 38119-4806 | 2014-02-06 |
| 1578997615 | William Leslie Fulliton | Psychologist | 1407 Union Ave Ste 1407, Memphis, TN 38104 | 2013-08-26 |
| 1073862827 | Joann Paula Raby | Psychologist | 5119 Summer Ave Ste 233, Memphis, TN 38122-4417 | 2012-09-06 |
| 1922236546 | Robert Allen Neimeyer | Psychologist | Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 | 2009-06-23 |
| 1477753564 | Meghan Eileen Mcdevitt-murphy | Psychologist | 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 | 2007-07-18 |
| 1508086976 | Charlotte L Kennedy | Psychologist | 4953 W Old Farm Rd, Memphis, TN 38125-3706 | 2007-04-26 |
| 1548381098 | George Vance Stewart, Jr. | Psychologist | 5950 Shady Grove Rd, Memphis, TN 38120-2316 | 2007-04-03 |
| Find all providers in MEMPHIS | ||||
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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.