| Neuropsychology Assessment Services Llc | |
|
999 Polaris Pkwy Ste 102 Columbus OH 43240-2051 | |
| (614) 327-1965 | |
| (440) 880-9496 |
| Full Name | Neuropsychology Assessment Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 999 Polaris Pkwy Ste 102, Columbus, Ohio |
| Authorized Official Name and Position | Dru Garcia (PRESIDENT) |
| Authorized Official Contact | 6143271965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Assessment Services Llc 6805 Temperance Point Pl Westerville OH 43082-8704 Ph: (614) 327-1967 | Neuropsychology Assessment Services Llc 999 Polaris Pkwy Ste 102 Columbus OH 43240-2051 Ph: (614) 327-1965 |
| NPI Number | 1588257117 |
|---|---|
| Provider Enumeration Date | 02/15/2021 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 4587067137 |
|---|---|
| Medicare Enrollment ID | O20210720003846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588257117 | NPI | - | NPPES |
| 0480689 | Medicaid | OH | |
| 4417482 | Other | OHIO BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dru Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568971570 PECOS PAC ID: 7416207311 Enrollment ID: I20180913000689 |
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