| Northeast Neuropsychology, Llc | |
|
609 W Johnson Ave Ste 104 Cheshire CT 06410-4506 | |
| (203) 272-6007 | |
| (203) 272-8895 |
| Full Name | Northeast Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 609 W Johnson Ave Ste 104, Cheshire, Connecticut |
| Authorized Official Name and Position | James William Pier (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 2032726007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Neuropsychology, Llc 609 W Johnson Ave Ste 104 Cheshire CT 06410-4506 Ph: (203) 272-6007 | Northeast Neuropsychology, Llc 609 W Johnson Ave Ste 104 Cheshire CT 06410-4506 Ph: (203) 272-6007 |
| NPI Number | 1396991956 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 3375602931 |
|---|---|
| Medicare Enrollment ID | O20081111000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396991956 | NPI | - | NPPES |
| Provider Name | David W Lovejoy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457365009 PECOS PAC ID: 3173587466 Enrollment ID: I20041116001030 |
| Provider Name | Richard H Grayson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679516645 PECOS PAC ID: 7315950755 Enrollment ID: I20060929000323 |
| Provider Name | Jay R Beatman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427121433 PECOS PAC ID: 1850487414 Enrollment ID: I20071012000586 |
| Provider Name | Anabela Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881924439 PECOS PAC ID: 5092857458 Enrollment ID: I20100122000399 |
| Provider Name | Sarah J Tartar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952631897 PECOS PAC ID: 8325229628 Enrollment ID: I20110218000984 |
| Provider Name | Catherine M Wargo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154490407 PECOS PAC ID: 1355400466 Enrollment ID: I20140828000098 |
| Provider Name | Dana Therese Savidge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851771505 PECOS PAC ID: 7214234046 Enrollment ID: I20160322002528 |
| Provider Name | Lasha Corbett Laggis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235682386 PECOS PAC ID: 8022306018 Enrollment ID: I20161006001188 |
| Provider Name | Kristen Wrocklage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336400498 PECOS PAC ID: 0749568541 Enrollment ID: I20161029000308 |
| Provider Name | Nicole M Barcelos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467820944 PECOS PAC ID: 8426367574 Enrollment ID: I20170214001763 |
| Provider Name | Kathryn A Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255627899 PECOS PAC ID: 7416221346 Enrollment ID: I20170915002539 |
| Provider Name | Maureen S Colleary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417598616 PECOS PAC ID: 6608201744 Enrollment ID: I20200116003006 |
| Provider Name | Kimberly M Maynard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942459581 PECOS PAC ID: 9931326220 Enrollment ID: I20200318000949 |
| Provider Name | Valentina Shehu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598915498 PECOS PAC ID: 1557771680 Enrollment ID: I20201102000199 |
| Provider Name | Dmitriy Kazakov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336804541 PECOS PAC ID: 1759774185 Enrollment ID: I20220208001835 |
| Provider Name | Tanesha Rankine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093342958 PECOS PAC ID: 7416342332 Enrollment ID: I20220311000597 |
| Provider Name | Bryant Duda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972265684 PECOS PAC ID: 1951789585 Enrollment ID: I20220609001619 |
| Provider Name | Christina Papadopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841667177 PECOS PAC ID: 8325407919 Enrollment ID: I20230629001677 |
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