| Aspire Neuro Psychological Services, Inc. | |
|
2815 Mitchell Dr Ste 119 Walnut Creek CA 94598-1622 | |
| (925) 885-6070 | |
| (925) 835-7071 |
| Full Name | Aspire Neuro Psychological Services, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2815 Mitchell Dr Ste 119, Walnut Creek, California |
| Authorized Official Name and Position | Keiko Y Miller (OWNER/CEO) |
| Authorized Official Contact | 9258856070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Neuro Psychological Services, Inc. 802 Morningside Way Pleasant Hill CA 94523-2467 Ph: (925) 885-6070 | Aspire Neuro Psychological Services, Inc. 2815 Mitchell Dr Ste 119 Walnut Creek CA 94598-1622 Ph: (925) 885-6070 |
| NPI Number | 1134639859 |
|---|---|
| Provider Enumeration Date | 10/08/2017 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 4082962691 |
|---|---|
| Medicare Enrollment ID | O20180730001496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134639859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 28008 (California) | Primary |
| 103TC0700X | Psychologist - Clinical | 28008 (California) | Secondary |
| Provider Name | Keiko Yafa Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720442965 PECOS PAC ID: 5991053506 Enrollment ID: I20180730001587 |
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