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GENERATIONAL BRIDGES NEUROPSYCHOLOGICAL SERVICES PLLC
NPI 1467088062
Clinical Neuropsychologist in Phoenix, AZ

Active since March 16, 2020
1515 E MISSOURI AVE STE 110, PHOENIX, AZ 85014(623) 322-9936(623) 218-1337 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 15, 2021, Jan 15, 2021, Mar 16, 2020 (3 updates tracked since 2020).

About Generational Bridges Neuropsychological Services Pllc NPPES

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

GENERATIONAL BRIDGES NEUROPSYCHOLOGICAL SERVICES PLLC (NPI 1467088062) is a healthcare organization registered as a clinical neuropsychologist in Phoenix, Arizona and active in the NPI registry since March 2020. The organization lists Stephanie Middaugh, President, as its authorized official.

NPPES Registry Identity

NPI1467088062
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameGENERATIONAL BRIDGES NEUROPSYCHOLOGICAL SERVICES PLLC
Location Address1515 E MISSOURI AVE STE 110Phoenix, AZ 85014-2443
Mailing Address1515 E Missouri Ave Ste 110Phoenix, AZ 85014-2443 · (623) 322-9936 · Fax (623) 218-1337
Phone(623) 322-9936
Fax(623) 218-1337
Organization SubpartNo
Authorized OfficialStephanie MiddaughPresident · (623) 322-9936
Enumeration DateMarch 16, 2020
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1467088062 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.

1515 E MISSOURI AVE STE 110, Phoenix, AZ 85014
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Other Names 1

Doing Business AsGenerational Bridges Neuropsychological Services Pllc

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 2

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

NATALIE LOOMIS PHD
Psychologist
1515 E MISSOURI AVE STE 110
PHOENIX, AZ 85014
Maricopa County (602) 274-1462
DR. CRAIG JOSEPH ZINKIEWICZ PSY.D., NCSP
Psychologist (School)
1515 E MISSOURI AVE STE 110
PHOENIX, AZ 85014
Maricopa County (602) 274-1928

Frequently Asked Questions

What is GENERATIONAL BRIDGES NEUROPSYCHOLOGICAL SERVICES PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1467088062, enumerated as an "organization" on March 16, 2020.

Where is the provider located?

The provider is located at 1515 E MISSOURI AVE STE 110 PHOENIX, AZ 85014 and the phone number is (623) 322-9936.

What is the provider's specialty?

Clinical Neuropsychologist with taxonomy code 103G00000X.