Provider Demographics
NPI:1538870019
Name:NEUROLOGY CONNECT
Entity type:Organization
Organization Name:NEUROLOGY CONNECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:EMI
Authorized Official - Last Name:TAKAHASHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-203-8671
Mailing Address - Street 1:143 W. BROOKLINE ST
Mailing Address - Street 2:APT 204
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-1599
Mailing Address - Country:US
Mailing Address - Phone:808-203-8671
Mailing Address - Fax:
Practice Address - Street 1:143 W. BROOKLINE ST
Practice Address - Street 2:APT 204
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-1599
Practice Address - Country:US
Practice Address - Phone:808-203-8671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical CareGroup - Multi-Specialty
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Multi-Specialty
No2084P0301XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBrain Injury MedicineGroup - Multi-Specialty