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MAGNOLIA NEUROPSYCHOLOGY CORPORATION
NPI 1831836709
Clinical Neuropsychologist in Arcadia, CA

Active since May 12, 2022
440 E HUNTINGTON DR STE 300, ARCADIA, CA 91006(626) 823-2799 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2022, May 12, 2022 (2 updates tracked since 2022).

About Magnolia Neuropsychology Corporation NPPES

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

MAGNOLIA NEUROPSYCHOLOGY CORPORATION (NPI 1831836709) is a healthcare organization registered as a clinical neuropsychologist in Arcadia, California and active in the NPI registry since May 2022. The organization lists Tammy Kealey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831836709
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMAGNOLIA NEUROPSYCHOLOGY CORPORATION
Location Address440 E HUNTINGTON DR STE 300Arcadia, CA 91006-3775
Mailing Address440 E Huntington Dr Ste 300Arcadia, CA 91006-3775 · (626) 823-2799
Phone(626) 823-2799
Organization SubpartNo
Authorized OfficialTammy KealeyCeo · (626) 823-2799
Enumeration DateMay 12, 2022
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1831836709 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.
440 E HUNTINGTON DR STE 300, Arcadia, CA 91006
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Neuropsychology Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Neuropsychology Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tammy Kealey, PSYD
Clinical Psychologist
NPI 1548917800
440 E HUNTINGTON DR STE 300
Arcadia, CA 91006
(626) 823-2799
✔ PECOS✔ Accepts MedicareSame address

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 Magnolia Neuropsychology Corporation's NPI number?

The NPI number for Magnolia Neuropsychology Corporation is 1831836709. It was assigned to this organization in the NPPES registry on May 12, 2022.

Where is Magnolia Neuropsychology Corporation located?

Magnolia Neuropsychology Corporation is located at 440 E Huntington Dr Ste 300, Arcadia, CA 91006. The listed phone number is (626) 823-2799.

What is Magnolia Neuropsychology Corporation's specialty?

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

Is Magnolia Neuropsychology Corporation enrolled in Medicare?

Yes. Magnolia Neuropsychology Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Neuropsychology Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Magnolia Neuropsychology Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Neuropsychology Corporation was last updated on December 9, 2022. 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.