1. Home
  2. Directory
  3. North Carolina
  4. Fayetteville
  5. Clinical Neuropsychologist
  6. NPI Profile

FAYETTEVILLE NEUROPSYCHOLOGY PLLC
NPI 1053830315
Clinical Neuropsychologist in Fayetteville, NC

Active since September 18, 2017
2931 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303(910) 677-0000(910) 677-0099 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Sep 18, 2017 (2 updates tracked since 2017).

About Fayetteville Neuropsychology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAYETTEVILLE NEUROPSYCHOLOGY PLLC (NPI 1053830315) is a healthcare organization registered as a clinical neuropsychologist in Fayetteville, North Carolina and active in the NPI registry since September 2017. The organization lists Robert R Gamble, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053830315
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameFAYETTEVILLE NEUROPSYCHOLOGY PLLC
Location Address2931 BREEZEWOOD AVE STE 100Fayetteville, NC 28303-5281
Mailing Address2931 Breezewood Ave Ste 100Fayetteville, NC 28303-5281 · (910) 677-0000 · Fax (910) 677-0099
Phone(910) 677-0000
Fax(910) 677-0099
Organization SubpartNo
Authorized OfficialRobert R GambleOffice Manager · (910) 677-0000
Enumeration DateSeptember 18, 2017
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1053830315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NC · 1853
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2931 BREEZEWOOD AVE STE 100, Fayetteville, NC 28303
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ELIZABETH ANN GAMBLE PSY.D.
Clinical Neuropsychologist
2931 BREEZEWOOD AVE STE 100
FAYETTEVILLE, NC 28303
Cumberland County (910) 677-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fayetteville Neuropsychology PLLC's NPI number?

The NPI number for Fayetteville Neuropsychology PLLC is 1053830315. It was assigned to this organization in the NPPES registry on September 18, 2017.

Where is Fayetteville Neuropsychology PLLC located?

Fayetteville Neuropsychology PLLC is located at 2931 Breezewood Ave Ste 100, Fayetteville, NC 28303. The listed phone number is (910) 677-0000.

What is Fayetteville Neuropsychology PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

What insurance does Fayetteville Neuropsychology PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Fayetteville Neuropsychology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fayetteville Neuropsychology PLLC was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.