SENIOR NEUROPSYCHOLOGICAL ASSOCIATES PC NPI 1356522288

NPI Information

NPI: 1356522288
Provider Name: SENIOR NEUROPSYCHOLOGICAL ASSOCIATES, PC
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
6225 PAPER SHELL WAY
FORT WORTH, TX
ZIP 76179
Phone: (817) 988-1236
Get Directions

SENIOR NEUROPSYCHOLOGICAL ASSOCIATES, PC is a cognitive and behavioral psychologist in Fort Worth, TX. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. SENIOR NEUROPSYCHOLOGICAL ASSOCIATES, PC NPI is 1356522288. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6225 PAPER SHELL WAY
FORT WORTH, TX
ZIP 76179-286
Phone: (817) 988-1236
Fax: (817) 750-1237

The provider's authorized official is Bret G Bentz .
The authorized official title is Owner and has the following contact phone number (817) 988-1236.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 4/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	31579	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8A3287	MEDICARE PIN	TEXAS
2	0015MJ	OTHER	TEXAS	BLUE CROSS
3	159445901	MEDICAID	TEXAS
4	00678U	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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