Provider Demographics
NPI:1760688873
Name:NEUROPSYCHOLOGY ASSOCIATES P C
Entity type:Organization
Organization Name:NEUROPSYCHOLOGY ASSOCIATES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MCCARTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-777-2477
Mailing Address - Street 1:141 S MCCORMICK ST STE 109
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-4730
Mailing Address - Country:US
Mailing Address - Phone:928-777-2477
Mailing Address - Fax:928-777-8020
Practice Address - Street 1:141 S MCCORMICK ST STE 109
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-4730
Practice Address - Country:US
Practice Address - Phone:928-777-2477
Practice Address - Fax:928-777-8020
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEUROPSYCHOLOGY ASSOCIATES P C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-25
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0689103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ27057Medicare PIN
AZZ27056Medicare PIN