Fort Wayne NeuroPsychology – Clinical Neuropsychologist, NPI 1649478744

Fort Wayne NeuroPsychology is a healthcare provider. based in Fort wayne, Indiana. specializing in Clinical Neuropsychologist. The NPI Number for Fort Wayne NeuroPsychology is 1649478744

Main info

Organization
Name
Fort Wayne NeuroPsychology
NPI
1649478744
Phone
(260) 460-3100
Address
11104 PARKVIEW CIRCLE DR
Authorized Official
W BARRY KUNKLE CEO
Enumeration Date
10 July 2007
Last Update Date
28 January 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Fort Wayne NeuroPsychology

  • 11104, Parkview Circle, Fort Wayne, Allen County, Indiana, 46845, United States

    STE 110

    FORT WAYNE, IN 468451730

    Phone: (260) 460-3100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46845)

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Reviews

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Frequently asked questions

Does Fort Wayne NeuroPsychology share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Fort Wayne NeuroPsychology uses 1649478744.
Does CMS list Fort Wayne NeuroPsychology as active?
Yes — Fort Wayne NeuroPsychology is active in the NPI listing used on this page.
What is Fort Wayne NeuroPsychology's primary classification?
Clinical Neuropsychologist is the headline specialty for Fort Wayne NeuroPsychology here. Clinical services aligned with this taxonomy classification.
Where is Fort Wayne NeuroPsychology based?
Fort Wayne NeuroPsychology is tied to Fort Wayne, Indiana in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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