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FORT WAYNE NEUROPSYCHOLOGY LLC
NPI 1871032862
Clinical Neuropsychologist in Fort Wayne, IN

Active since February 23, 2017
4306 E STATE BLVD, FORT WAYNE, IN 46815(260) 460-3100 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Wayne Neuropsychology Llc NPPES

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

FORT WAYNE NEUROPSYCHOLOGY LLC (NPI 1871032862) is a healthcare organization registered as a clinical neuropsychologist in Fort Wayne, Indiana and active in the NPI registry since February 2017. The organization lists Tasha H. Williams, Vice President, as its authorized official.

NPPES Registry Identity

NPI1871032862
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameFORT WAYNE NEUROPSYCHOLOGY LLC
Location Address4306 E STATE BLVDFort Wayne, IN 46815-6915
Mailing Address4306 E State BlvdFort Wayne, IN 46815-6915
Phone(260) 460-3100
Organization SubpartNo
Authorized OfficialTasha H. WilliamsVice President · (260) 414-8629
Enumeration DateFebruary 23, 2017
✔ NPI 1871032862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4306 E STATE BLVD, Fort Wayne, IN 46815
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 4

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

LORI STOCK
Social Worker (Clinical)
4306 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 460-3203
MARGARITA M NOGIN PH.D., HSPP
Clinical Neuropsychologist
4306 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 460-3203
KELLY L HOOVER PH.D., HSPP
Psychologist (Clinical)
4306 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 460-3203
CATHRINE SHORT PH.D.
Psychologist (Clinical)
4306 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 460-3203

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 Fort Wayne Neuropsychology LLC's NPI number?

The NPI number for Fort Wayne Neuropsychology LLC is 1871032862. It was assigned to this organization in the NPPES registry on February 23, 2017.

Where is Fort Wayne Neuropsychology LLC located?

Fort Wayne Neuropsychology LLC is located at 4306 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 460-3100.

What is Fort Wayne Neuropsychology LLC's specialty?

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

What insurance does Fort Wayne Neuropsychology LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Fort Wayne Neuropsychology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Wayne Neuropsychology LLC was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.