COGNITIVE CARE PA
NPI 1659747749
Clinical Neuropsychologist in Fleming Island, FL

Q: What is Cognitive Care PA's NPI number?

The NPI number for Cognitive Care PA is 1659747749. It was assigned to this organization in the NPPES registry on August 12, 2015.

Q: What is Cognitive Care PA's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cognitive Care PA was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 12, 2015

4565 US HIGHWAY 17 STE 106, FLEMING ISLAND, FL 32003(904) 579-2265 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2020, Apr 18, 2018 (2 updates tracked since 2018).

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About Cognitive Care Pa NPPES

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

COGNITIVE CARE PA (NPI 1659747749) is a healthcare organization registered as a clinical neuropsychologist in Fleming Island, Florida and active in the NPI registry since August 2015. The organization lists Christopher Rossilli, Owner, as its authorized official.

NPPES Registry Identity

NPI1659747749

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameCOGNITIVE CARE PA

Location Address4565 US HIGHWAY 17 STE 106Fleming Island, FL 32003-4822

Mailing Address10950-60 San Jose Blvd., Suite 169Jacksonville, FL 32223 · (904) 770-5199

Phone(904) 579-2265

Organization SubpartNo

Authorized OfficialChristopher RossilliOwner · (904) 579-2265

Enumeration DateAugust 12, 2015

Last NPPES UpdateJune 8, 20202 updates tracked since enumeration

NPPES CertifiedJune 8, 2020

✔ NPI 1659747749 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.

4565 US HIGHWAY 17 STE 106, Fleming Island, FL 32003

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 11

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

DR. ALI REZA AFSHAR M.D.

Family Medicine