DR. NEELAM JAIN PH.D. - NPI 1306162326 - Clinical Neuropsychologist in Memphis, TN

Q: What is Neelam Jain's NPI number?

The NPI number for Neelam Jain is 1306162326. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Q: What is Neelam Jain's specialty?

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

Q: Is Neelam Jain enrolled in Medicare?

No. Neelam Jain has opted out of Medicare through March 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Neelam Jain was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Dr. Neelam Jain Ph.d. NPPES

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

DR. NEELAM JAIN PH.D. (NPI 1306162326) is an individual clinical neuropsychologist in Memphis, Tennessee, licensed in Tennessee (P0000002840) and active in the NPI registry since April 2010. She has opted out of Medicare through March 22, 2027 and remains eligible to order and refer and maintains a secondary practice location in Germantown.

NPPES Registry Identity

NPI1306162326

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. NEELAM JAINCredential: PH.D.

Location Address1661 INTERNATIONAL PLACE DR STE 400Memphis, TN 38120-1431

Mailing Address1661 International Place Dr Ste 400Memphis, TN 38120-1431 · (901) 410-9524 · Fax (901) 432-2415

Phone(901) 410-9524

Fax(901) 432-2415

Sole ProprietorNo

Enumeration DateApril 15, 2010

Last NPPES UpdateApril 22, 2019

✔ NPI 1306162326 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 TN · P0000002840

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.

1661 INTERNATIONAL PLACE DR STE 400, Memphis, TN 38120

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Secondary Practice Location 1

Location 17516 Enterprise Ave Ste 1Germantown, TN 38138-3802 · Phone (901) 755-5802 · Fax (901) 757-2249

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Neelam Jain Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2019 through March 22, 2027.

Opt-Out Effective DateMarch 22, 2019

Opt-Out In Effect ThroughMarch 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

DR. ROBERT WILLIAM ADAMS PHD MBA

Psychologist