CLINICAL NEUROPSYCH, PA (NPI# 1740579069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740579069 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEUROPSYCH, PA |
| Practice Address |
1201 Fleming Ave Jonesboro AR 72401-4311 |
| Practice Telephone | 8709335174 |
| Mailing Telephone | 8709335174 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | MR. DAN A JOHNSON (CLINICAL NEUROPSYCHOLOGIST; OWNER) |
| Authorized Official Telephone | 8709335174 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 09-61AE | AR | Agencies |
| Street Address |
1201 FLEMING AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619941556 | Cms Jonesboro Rehabilitation Inc | Rehabilitation Hospital | 1201 Fleming Ave, Jonesboro, AR 72401-4311 | 2006-02-15 |
| 1417292608 | Encompass Health Rehabilitation Hospital of Jonesboro, LLC | Rehabilitation Hospital | 1201 Fleming Ave, Jonesboro, AR 72401-4311 | 2012-11-29 |
| 1205104346 | Joe W Vincent | Pharmacist | 1201 Fleming Ave, Jonesboro, AR 72401-4311 | 2011-12-04 |
| 1174661003 | Dan Johnson Phd Clinical Neuropsychologist,p.a. | Specialist | 1201 Fleming Ave, Jonesboro, AR 72401-4311 | 2007-02-02 |
| 1588683775 | Virendar Kumar Verma | Physical Medicine & Rehabilitation | 1201 Fleming Ave, Health South Rehablitation Hospital of Jonesboro, Jonesboro, AR 72403 | 2006-07-19 |
| 1720004716 | Dan Johnson | Clinical Neuropsychologist | 1201 Fleming Ave, Jonesboro, AR 72401 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523925 | Tarr Personal Care Home LLC. | Community/Behavioral Health | 1180 Mundys Mill Rd, Jonesboro, GA 30238-6038 | 2019-08-13 |
| 1548741713 | Chance of Change, Inc | Community/Behavioral Health | 1489 Mundys Mill Rd Ste 200, Jonesboro, GA 30238-6026 | 2018-08-27 |
| 1255874566 | Andrew J. Nelson, LLC | Community/Behavioral Health | 741 Barnesdale Dr, Jonesboro, GA 30236-1801 | 2016-11-18 |
| 1528513538 | Building A Strong Foundation Consultant Service LLC | Community/Behavioral Health | 7301 Howard Cir, Jonesboro, GA 30236-1940 | 2016-08-19 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| 1659712180 | Business Management Consulting,llc | Community/Behavioral Health | 2469 Mead Ct, Jonesboro, GA 30236-9209 | 2013-07-12 |
| 1568806412 | Sherman Support and Solutions, LLC | Community/Behavioral Health | 259 Arrowhead Blvd Ste C1, Jonesboro, GA 30236-1167 | 2013-04-23 |
| 1023371416 | Youth Generation Inc | Community/Behavioral Health | 525 Sunnyhill Dr, Jonesboro, GA 30238-4862 | 2012-06-20 |
| 1851651426 | Tlc Family Life Center, LLC | Community/Behavioral Health | 145b N Main St, Jonesboro, GA 30236-3568 | 2012-05-16 |
| 1780957167 | Nu Beginnings | Community/Behavioral Health | 754 Chapman St, Jonesboro, GA 30238-5682 | 2012-02-16 |
| Find all providers in JONESBORO | ||||
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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.