| Sunshine Neuropsychology, Inc. | |
|
1660 W Linne Rd Ste J-15 Tracy CA 95377-8024 | |
| (888) 786-7496 | |
| (209) 395-2449 |
| Full Name | Sunshine Neuropsychology, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1660 W Linne Rd Ste J-15, Tracy, California |
| Authorized Official Name and Position | James E. Taylor (CEO, CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8887867496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Neuropsychology, Inc. 1660 W Linne Rd Ste J-15 Tracy CA 95377-8024 Ph: (888) 786-7496 | Sunshine Neuropsychology, Inc. 1660 W Linne Rd Ste J-15 Tracy CA 95377-8024 Ph: (888) 786-7496 |
| NPI Number | 1932854700 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 9335534940 |
|---|---|
| Medicare Enrollment ID | O20220317002244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932854700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | James E Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942451760 PECOS PAC ID: 6406136951 Enrollment ID: I20161129002380 |
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