NEUROPSYCHOLOGY INSTITUTE LLC (NPI# 1689792772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689792772 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGY INSTITUTE LLC |
| Practice Address |
3800 Ridgeway Dr Birmingham AL 35209-5506 |
| Practice Telephone | 2058682090 |
| Practice Fax Number | 2058682406 |
| Mailing Telephone | 2058682090 |
| Mailing Fax Number | 2058682406 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS JEFFERY BOLL (DIRECTOR) |
| Authorized Official Telephone | 2058682090 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 386 | AL | Behavioral Health & Social Service Providers |
| Street Address |
3800 RIDGEWAY DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812140 | Mark L. Vaporean | Internal Medicine | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2005-06-23 |
| 1558987990 | Menthola Smith | Nurse Practitioner | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2020-06-22 |
| 1447817564 | Richardson Rehabilitation Services, PC | Physical Medicine & Rehabilitation | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2019-05-23 |
| 1992368054 | Roschanda Pullom Watkins | Nurse Practitioner | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2019-04-15 |
| 1528552734 | Edge Medical Consulting LLC | Internal Medicine | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2018-06-20 |
| 1962926337 | Alexandra Salch | Physical Therapist | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2017-07-27 |
| 1033647045 | Ab Physiatry, LLC | Physical Medicine & Rehabilitation | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2017-06-03 |
| 1770025900 | Rannau Health Services, LLC. | Internal Medicine | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2016-11-04 |
| 1164872073 | Jennifer-nicole Lee Wood | Occupational Therapist | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2016-06-21 |
| 1669822722 | Cunningham Rehab, LLC | Physical Medicine & Rehabilitation | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| 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 |
|---|---|---|---|---|
| 1205457504 | Elaine Joy Mahoney | Clinical Neuropsychologist | 1717 6th Ave S # Src190, Birmingham, AL 35233-1801 | 2020-04-28 |
| 1548493000 | Henry R. Griffith, Ph.d. | Clinical Neuropsychologist | 1025 23rd St S, Suite 100, Magnolia Financial Building, Birmingham, AL 35205-2499 | 2009-09-01 |
| 1740345529 | Lara E. Embry | Clinical Neuropsychologist | 3256 Highland Dr, Birmingham, AL 35205-1451 | 2006-12-22 |
| 1568478261 | Joseph Daniel Ackerson | Clinical Neuropsychologist | 1025 23rd Street South, Suite 100, Magnolia Financial Building, Birmingham, AL 35205-2403 | 2006-08-01 |
| 1356377048 | Douglas E Robbins | Clinical Neuropsychologist | 4921 Stonehenge Rd, Birmingham, AL 35242-4522 | 2006-06-24 |
| 1548207285 | Matthew Dale Thompson | Clinical Neuropsychologist | 2200 Lakeshore Dr, Suite 150, Birmingham, AL 35209-8803 | 2006-06-01 |
| 1083225395 | Christine Marie Mullen | Clinical Neuropsychologist | 700 19th St S, Birmingham, AL 35233-1927 | 2020-08-11 |
| 1710490198 | Donna Murdaugh | Clinical Neuropsychologist | 1600 7th Ave S # 500, Birmingham, AL 35233-1711 | 2017-11-08 |
| 1942674213 | Brittney Otruba Randolph | Clinical Neuropsychologist | 1720 7th Ave S, Birmingham, AL 35233-1718 | 2015-11-23 |
| 1538536669 | Adam Gerstenecker | Clinical Neuropsychologist | 1720 7th Ave S, Sparks Hall 650, Birmingham, AL 35233-1718 | 2015-08-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.