Peak Neurofeedback LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PEAK NEUROFEEDBACK LLC

Practice address

20 W Canal St Ste C11
Winooski, VT 05404-2147

Phone

(802) 662-0208

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Katie Cate, MANPI 1740492735

Title

Owner

Phone

(802) 999-6634

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Katie Ann Cate, M.A.

  • Clinical Psychologist
  • Winooski, VT
  • NPI 1740492735
  NPD Authorized official

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1043083058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W CANAL ST STE C11",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042147",
            "telephone_number": "802-662-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CANAL ST STE C11",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042147",
            "telephone_number": "802-662-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK NEUROFEEDBACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "CATE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-999-6634",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Patrick O'Bryan, MD
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• Clinical Psychologist in Winooski, VT
• Providers in Winooski, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.