Provider Demographics
NPI:1588257117
Name:NEUROPSYCHOLOGY ASSESSMENT SERVICES LLC
Entity type:Organization
Organization Name:NEUROPSYCHOLOGY ASSESSMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DRU
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-327-1965
Mailing Address - Street 1:6805 TEMPERANCE POINT PL
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8704
Mailing Address - Country:US
Mailing Address - Phone:614-327-1967
Mailing Address - Fax:614-880-9496
Practice Address - Street 1:999 POLARIS PKWY STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-2051
Practice Address - Country:US
Practice Address - Phone:614-327-1965
Practice Address - Fax:440-880-9496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0480689Medicaid
4417482OtherOHIO BUSINESS LICENSE