The Developing and Aging Brain, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE DEVELOPING AND AGING BRAIN, LLC

Practice address

246 Federal Rd Ste C23A
Brookfield, CT 06804-2640

Phone

(203) 364-4828

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Ashley N Simone, PHDNPI 1194248609

Title

Owner/Manager

Phone

(203) 364-4828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Ashley N Simone, PH.D

  • Clinical Neuropsychologist
  • Brookfield, CT
  • NPI 1194248609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1104598978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE C23A",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042640",
            "telephone_number": "203-364-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE C23A",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042640",
            "telephone_number": "203-364-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVELOPING AND AGING BRAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "203-364-4828",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.