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CENTER FOR PEDIATRIC NEUROSCIENCE, PLLC
NPI 1174826499
Clinical Neuropsychologist in Jonesboro, AR

Active since December 08, 2010
2808 FOX MEADOW LN, JONESBORO, AR 72404(870) 932-4245 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Center For Pediatric Neuroscience, Pllc NPPES

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

CENTER FOR PEDIATRIC NEUROSCIENCE, PLLC (NPI 1174826499) is a healthcare organization registered as a clinical neuropsychologist in Jonesboro, Arkansas and active in the NPI registry since December 2010. The organization lists Job D Caspall, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1174826499
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameCENTER FOR PEDIATRIC NEUROSCIENCE, PLLC
Location Address2808 FOX MEADOW LNJonesboro, AR 72404-9346
Mailing AddressPo Box 814Walnut Ridge, AR 72476-0814 · (901) 603-9936
Phone(870) 932-4245
Organization SubpartNo
Authorized OfficialJob D CaspallBusiness Manager · (901) 603-9936
Enumeration DateDecember 8, 2010
Last NPPES UpdateJuly 10, 2012
✔ NPI 1174826499 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 AR · 11-16P
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.
2808 FOX MEADOW LN, Jonesboro, AR 72404
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Other Identifiers 4

Other4302608TN · Blue Cross Blue Shield
Medicaid00118484MS
Medicaid189059744AR
Medicaid3583920TN

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

Other Providers at the Same Location NPPES 20

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

MRS. RENEA JUNE FREY MCD, CCC SLP
Speech-Language Pathologist
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 932-4245
QUANTARIA ANDERSON
Behavior Technician
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 335-2240
LATOYA CISSE
Behavior Technician
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 335-2240
DEJAH MARIE JOHNSON
Behavior Technician
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 335-2240
TAYLA SHANAY BARNETT
Behavior Technician
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 932-4245
MRS. SARAH ELLEN KOMARA MS, CCC SLP
Speech-Language Pathologist
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 932-4245
ALPHABEN PATEL
Behavior Technician
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 932-4245
KIRSTEN MARIE RAFFANELLI
Behavior Technician
2808 FOX MEADOW LN
JONESBORO, AR 72404
Craighead County (870) 932-4245

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 Center For Pediatric Neuroscience, PLLC's NPI number?

The NPI number for Center For Pediatric Neuroscience, PLLC is 1174826499. It was assigned to this organization in the NPPES registry on December 8, 2010.

Where is Center For Pediatric Neuroscience, PLLC located?

Center For Pediatric Neuroscience, PLLC is located at 2808 Fox Meadow Ln, Jonesboro, AR 72404. The listed phone number is (870) 932-4245.

What is Center For Pediatric Neuroscience, PLLC'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 Center For Pediatric Neuroscience, PLLC was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.