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NEUROPSYCHOLOGY CLINIC
NPI 1093996985
Clinical Neuropsychologist in Northport, AL

Active since November 19, 2007
2804 20TH AVE, NORTHPORT, AL 35476(205) 333-1404(205) 333-1516 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Neuropsychology Clinic NPPES

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

NEUROPSYCHOLOGY CLINIC (NPI 1093996985) is a healthcare organization registered as a clinical neuropsychologist in Northport, Alabama and active in the NPI registry since November 2007. The organization lists Mark L Prohaska, Director, as its authorized official.

NPPES Registry Identity

NPI1093996985
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameNEUROPSYCHOLOGY CLINIC
Location Address2804 20TH AVENorthport, AL 35476-3835
Mailing Address2804 20th AveNorthport, AL 35476-3835 · (205) 333-1404 · Fax (205) 333-1516
Phone(205) 333-1404
Fax(205) 333-1516
Organization SubpartNo
Authorized OfficialMark L ProhaskaDirector · (205) 344-6169
Enumeration DateNovember 19, 2007
Last NPPES UpdateMay 5, 2010
✔ NPI 1093996985 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 AL · 816
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.

2804 20TH AVE, Northport, AL 35476
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Other Identifiers 3

Other51504930AL · Blue Cross
Medicare UPINS27539AL
Medicare PIN051550971AL

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

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 Neuropsychology Clinic's NPI number?

The NPI number for Neuropsychology Clinic is 1093996985. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Neuropsychology Clinic located?

Neuropsychology Clinic is located at 2804 20th Ave, Northport, AL 35476. The listed phone number is (205) 333-1404.

What is Neuropsychology Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Neuropsychology Clinic was last updated on May 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.