The Neuropsychology Consultants, Pa

LBN: The Neuropsychology Consultants, Pa
The Neuropsychology Consultants, Pa is an health care organization with primary practice located at 3824 Barrett Dr Suite 101, Raleigh NC 27609-7220. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. The Neuropsychology Consultants, Pa can be contacted via phone (919) 785-9944, or through Burgess, Elwood Johnson via phone (919) 785-9944.

Contact Information

Primary practice address
3824 Barrett Dr Suite 101 Raleigh NC 27609-7220
Phone: (919) 785-9944
Fax: (919) 785-9992
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Elwood Johnson PSY.D.
Phone: (919) 785-9944

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2249 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2249 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2249 North Carolina
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2249 North Carolina
Behavioral Health & Social Service Providers / Forensic 103TF0200X 2249 North Carolina
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 2249 North Carolina

Profile Details

NPI number 1518158757
LBN Legal business name The Neuropsychology Consultants, Pa
DBA Doing business as
Authorized official Burgess, Elwood Johnson PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Sep 10th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518158757 NPPES
North Carolina Other 027YM BCBS
North Carolina MEDICAID 6005171 BCBS

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