PATH NEUROPSYCHOLOGY, LLC
NPI 1427763945
Clinical Neuropsychologist in Fairfield, OH
About Path Neuropsychology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATH NEUROPSYCHOLOGY, LLC (NPI 1427763945) is a healthcare organization registered as a clinical neuropsychologist in Fairfield, Ohio and active in the NPI registry since January 2023. The organization lists Shawna Jacob, Clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Path Neuropsychology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Path Neuropsychology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Path Neuropsychology, LLC's NPI number?
The NPI number for Path Neuropsychology, LLC is 1427763945. It was assigned to this organization in the NPPES registry on January 18, 2023.
Where is Path Neuropsychology, LLC located?
Path Neuropsychology, LLC is located at 2812 Mack Rd, Fairfield, OH 45014. The listed phone number is (513) 429-9886.
What is Path Neuropsychology, LLC's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Path Neuropsychology, LLC enrolled in Medicare?
Yes. Path Neuropsychology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Path Neuropsychology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Path 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Path Neuropsychology, LLC was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Path Neuropsychology, Llc · NPI 1427763945
Clinical Neuropsychologist organization in Fairfield, Ohio. Organization record, active in the CMS NPPES registry since January 18, 2023.
## Identity
- **NPI:** 1427763945 (Entity type: Organization)
- **Enumerated:** January 18, 2023
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Shawna Jacob, CLINICAL PSYCHOLOGIST
## Practice location
- **Address:** 2812 MACK RD, Fairfield, OH 45014-5130
- **Phone:** (513) 429-9886
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427763945) · Data from the CMS NPPES public registry.