DR. JAMES M FUENDELING


Address: 2013 N Green Acres Rd, Suite C, Fayetteville, AR 72703-2619
Phone: 4794224489

DR. JAMES M FUENDELING (NPI# 1700802485) 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) 1700802485
Entity Type Individual
Full Name DR. JAMES M FUENDELING
Credential PH.D
Practice Address 2013 N Green Acres Rd
Suite C
Fayetteville
AR 72703-2619
Practice Telephone 4794224489
Practice Fax Number 4794446770
Mailing Telephone 4794224489
Mailing Fax Number 4794446770
Enumeration Date 2006-07-14
Last Update Date 2015-06-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 01-15P AR Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
01-15P AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUECROSS BLUESHIELD 5X899 01

Office Location

Street Address 2013 N GREEN ACRES RD
SUITE C
City FAYETTEVILLE
State AR
Zip Code 72703-2619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942577556 Pamela Jayne Bayers Acupuncturist 2013 N Green Acres Rd, Suite # E, Fayetteville, AR 72703-2619 2011-11-28
1255464855 Susan D Clemons Psychologist 2013 N Green Acres Rd, Suite C, Fayetteville, AR 72703 2007-03-13

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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
1538215660 Ronald Eugene Mcinroe Clinical Neuropsychologist 217 North East, Fayetteville, AR 72701 2007-01-25
1881749539 G. Martin Woodard Clinical Neuropsychologist 2711 Breezewood Ave, Suite A - 5, Fayetteville, NC 28303-5504 2007-01-24
1194816512 James W Mikesell Clinical Neuropsychologist 7000 E Genesee St Bldg C, Fayetteville, NY 13066 2006-09-28
1649205006 Anne Ward Stevens Clinical Neuropsychologist 86 W Sunbridge Dr, Fayetteville, AR 72703-1822 2006-07-12
1871527267 Harvey E Chambers Clinical Neuropsychologist 2592 N Gregg Ave Ste 16, Fayetteville, AR 72703-5541 2006-07-10
1447202809 Daniel J Johnson Clinical Neuropsychologist 1100 North College Ave, Veteran Health Care System of The Ozarks, Fayetteville, AR 72703 2006-05-16
1962476010 Fred Harry Brown Jr. Clinical Neuropsychologist 268 Waxhaw St, Fayetteville, NC 28314-8628 2006-02-15
1093716672 Elizabeth Ann Gamble Clinical Neuropsychologist 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154 2005-08-09
1053830315 Fayetteville Neuropsychology Pllc Clinical Neuropsychologist 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154 2017-09-18
1205375250 Gene Chambers Phd Pllc Clinical Neuropsychologist 2592 N Gregg Ave, Ste 16, Fayetteville, AR 72703-5543 2017-02-22
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City FAYETTEVILLE
Zip Code 72703

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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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