92 Brick Road Operating Company LLC
NPI 1528258191ActiveOrganization· Clinical Neuropsychologist· Marlton, NJ
Clinical Neuropsychologist in Marlton, New Jersey, registered in NPPES in July 2007. The authorized official on file is Brad E. Hollinger, President.
Overview
| NPI | 1528258191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2007 |
| Last updated in NPPES | Aug 8, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinical Neuropsychologist providers in Marlton
- 1124218318