Organization Active NPI

Neuro-Psychology Practice PLLC

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1013350768
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
019337-1 Issued in NY
Legal business name
NEURO-PSYCHOLOGY PRACTICE PLLC
Practice address
5030 Broadway
Suite 809
New York, NY 10034-1609
Phone
(800) 240-1038
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Barbara Couvadelli, PHDNPI 1104102490
Title
Ceo/Owner
Phone
(800) 240-1038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 019337-1 NY Primary

Addresses

Primary practice location

5030 Broadway
Suite 809
New York, NY 10034-1609

Mailing address

417 Hidden Valley Dr
Edison, NJ 08820-3491
Phone (469) 693-2757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1013350768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HIDDEN VALLEY DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203491",
            "telephone_number": "469-693-2757",
            "fax_number": "888-770-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY",
            "address_2": "SUITE 809",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341609",
            "telephone_number": "800-240-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-PSYCHOLOGY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "COUVADELLI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "800-240-1038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "019337-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.