Active NPI
Neuro-Psychology Practice PLLC
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1013350768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 019337-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara Couvadelli, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- New York, NY
- NPI 1104102490
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": []
}
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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.