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SURGICAL NEUROMONITORING SERVICE INC NPI 1063401461


NPI Information

NPI: 1063401461
Provider Name: SURGICAL NEUROMONITORING SERVICE INC
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3005 SANTA MARGARITA CT
SANTA ROSA, CA
ZIP 95405
Phone: (707) 573-2341
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SURGICAL NEUROMONITORING SERVICE INC is a health service psychologist in Santa Rosa, CA. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). SURGICAL NEUROMONITORING SERVICE INC NPI is 1063401461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3005 SANTA MARGARITA CT
SANTA ROSA, CA
ZIP 95405-205
Phone: (707) 573-2341
Fax: (707) 539-2939

The provider's authorized official is Alex Amochaev .
The authorized official title is President and has the following contact phone number (707) 573-2341.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 8/22/2020.


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
1103TH0100XPsychologistHealth ServicePSY12851CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.