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139 EDUCATION LLC. NPI 1013294628


NPI Information

NPI: 1013294628
Provider Name: 139 EDUCATION, LLC.

Doing Business As: NEUROCORE

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
3148 44TH ST SW
GRANDVILLE, MI
ZIP 49418
Phone: (800) 600-4096
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139 EDUCATION, LLC. is a psychologist in Grandville, MI. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. 139 EDUCATION, LLC. NPI is 1013294628. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurocore.

The provider's business location address is:

3148 44TH ST SW
GRANDVILLE, MI
ZIP 49418
Phone: (800) 600-4096
Fax: (800) 606-8839

The provider's authorized official is Timothy Royer .
The authorized official title is Provider/authorized Official and has the following contact phone number (800) 600-4096.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 2/21/2017.


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
1103T00000XPsychologist6301009353MICHIGANYes

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
10D14689OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN

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: 5/5/2024

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