NEUROPSYCHOLOGICAL SERVICES OF TEXARKANA PLLC
NPI 1104392067
Clinical Neuropsychologist in Texarkana, TX

Q: What is Neuropsychological Services Of Texarkana PLLC's specialty?

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

Active since October 18, 2018

5411 PLAZA DR STE E, TEXARKANA, TX 75503(903) 255-0171(903) 255-0172 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Neuropsychological Services Of Texarkana Pllc NPPES

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

NEUROPSYCHOLOGICAL SERVICES OF TEXARKANA PLLC (NPI 1104392067) is a healthcare organization registered as a clinical neuropsychologist in Texarkana, Texas and active in the NPI registry since October 2018. The organization lists Bryan Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1104392067

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameNEUROPSYCHOLOGICAL SERVICES OF TEXARKANA PLLC

Location Address5411 PLAZA DR STE ETexarkana, TX 75503-1667

Mailing Address5411 Plaza Dr Ste ETexarkana, TX 75503-1667 · (903) 255-0171 · Fax (903) 255-0172

Phone(903) 255-0171

Fax(903) 255-0172

Organization SubpartNo

Authorized OfficialBryan SmithOwner · (903) 255-0171

Enumeration DateOctober 18, 2018

✔ NPI 1104392067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

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.

5411 PLAZA DR STE E, Texarkana, TX 75503

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Other Identifiers 1

Other1306834015Neuropsychologist

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neuropsychological Services Of Texarkana Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Neuropsychological Services Of Texarkana PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Smith, PSY.D.

Clinical Psychologist

NPI 1306834015

5411 PLAZA DR SUITE E
Texarkana, TX 75503

(903) 255-0171

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neuropsychological Services Of Texarkana PLLC's NPI number?

The NPI number for Neuropsychological Services Of Texarkana PLLC is 1104392067. It was assigned to this organization in the NPPES registry on October 18, 2018.

Where is Neuropsychological Services Of Texarkana PLLC located?

Neuropsychological Services Of Texarkana PLLC is located at 5411 Plaza Dr Ste E, Texarkana, TX 75503. The listed phone number is (903) 255-0171.

What is Neuropsychological Services Of Texarkana PLLC's specialty?

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

Is Neuropsychological Services Of Texarkana PLLC enrolled in Medicare?

Yes. Neuropsychological Services Of Texarkana PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neuropsychological Services Of Texarkana PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Neuropsychological Services Of Texarkana PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neuropsychological Services Of Texarkana PLLC was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.