STATE OF MIND NEUROPSYCHOLOGY LLC
NPI 1174274120
Clinical Neuropsychologist in Connellsville, PA
About State Of Mind Neuropsychology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF MIND NEUROPSYCHOLOGY LLC (NPI 1174274120) is a healthcare organization registered as a clinical neuropsychologist in Connellsville, Pennsylvania and active in the NPI registry since January 2022. The organization lists Alicia Helene Puskar, Owner/neuropsychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
State Of Mind Neuropsychology Llc 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 State Of Mind Neuropsychology LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 State Of Mind Neuropsychology LLC's NPI number?
The NPI number for State Of Mind Neuropsychology LLC is 1174274120. It was assigned to this organization in the NPPES registry on January 11, 2022.
Where is State Of Mind Neuropsychology LLC located?
State Of Mind Neuropsychology LLC is located at 2714 Memorial Blvd, Connellsville, PA 15425. The listed phone number is (724) 317-1647.
What is State Of Mind Neuropsychology LLC's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is State Of Mind Neuropsychology LLC enrolled in Medicare?
Yes. State Of Mind Neuropsychology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Mind Neuropsychology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to State Of Mind Neuropsychology LLC. 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 State Of Mind Neuropsychology LLC was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# State Of Mind Neuropsychology Llc · NPI 1174274120
Clinical Neuropsychologist organization in Connellsville, Pennsylvania. Organization record, active in the CMS NPPES registry since January 11, 2022.
## Identity
- **NPI:** 1174274120 (Entity type: Organization)
- **Enumerated:** January 11, 2022
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Alicia Puskar, OWNER/NEUROPSYCHOLOGIST
## Practice location
- **Address:** 2714 MEMORIAL BLVD, Connellsville, PA 15425-1406
- **Phone:** (724) 317-1647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1174274120) · Data from the CMS NPPES public registry.