Provider Demographics
NPI:1891305074
Name:NEURO PSYCHOLOGY ASSESSMENT CENTER INC
Entity Type:Organization
Organization Name:NEURO PSYCHOLOGY ASSESSMENT CENTER INC
Other - Org Name:NEURO ASSESSMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DR. DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-926-8336
Mailing Address - Street 1:838 N DOHENY DR APT 904
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4850
Mailing Address - Country:US
Mailing Address - Phone:310-926-8336
Mailing Address - Fax:
Practice Address - Street 1:15720 VENTURA BLVD STE 214
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2954
Practice Address - Country:US
Practice Address - Phone:310-926-8336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty