Fort Wayne Neuropsychology LLC
NPI 1871032862 · Clinical Neuropsychologist · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fort Wayne Neuropsychology LLC is a Clinical Neuropsychologist organization in Fort Wayne, IN (NPI 1871032862).
Provider details
- NPI number
- 1871032862
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tasha Williams, Vice President(260) 414-8629
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-02-23
- Last updated
- 2017-02-23
Frequently asked questions
- What is Fort Wayne Neuropsychology LLC's NPI number?
- Fort Wayne Neuropsychology LLC's National Provider Identifier (NPI) is 1871032862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Neuropsychology LLC?
- Fort Wayne Neuropsychology LLC is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Fort Wayne Neuropsychology LLC located?
- Fort Wayne Neuropsychology LLC's practice location on file with NPPES is 4306 E State Blvd, Fort Wayne, IN 46815-6915.
- What is Fort Wayne Neuropsychology LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Neuropsychology LLC is (260) 460-3100.
- Does Fort Wayne Neuropsychology LLC accept Medicare?
- Fort Wayne Neuropsychology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fort Wayne Neuropsychology LLC?
- The authorized official listed on Fort Wayne Neuropsychology LLC's NPPES record is Tasha Williams, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Neuropsychology LLC's NPI active?
- Yes — Fort Wayne Neuropsychology LLC's NPI (1871032862) is active in the NPPES registry as of the last update on 2017-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.