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ALLIED PHYSICIANS INC NPI 1649478744


NPI Information

NPI: 1649478744
Provider Name: ALLIED PHYSICIANS INC

Doing Business As: FORT WAYNE NEUROPSYCHOLOGY

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
11104 PARKVIEW CIRCLE DR
STE 110
FORT WAYNE, IN
ZIP 46845
Phone: (260) 460-3100
Get Directions

ALLIED PHYSICIANS INC is a clinical neuropsychologist in Fort Wayne, IN. The provider is 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. ALLIED PHYSICIANS INC NPI is 1649478744. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fort Wayne Neuropsychology.

The provider's business location address is:

11104 PARKVIEW CIRCLE DR
STE 110
FORT WAYNE, IN
ZIP 46845-730
Phone: (260) 460-3100

The provider's authorized official is W Barry Kunkle .
The authorized official title is Ceo and has the following contact phone number (260) 399-4704.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 1/28/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3103G00000XClinical NeuropsychologistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CC1549MEDICARE PININDIANA
2CC1549OTHERINDIANARAILROAD MEDICARE
3100277310MEDICAIDINDIANA
40515955MEDICAIDOHIO
5148730MEDICARE PIN
65506830001MEDICARE NSCINDIANA
75506830003MEDICARE NSCINDIANA

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: 4/28/2024

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