River Valley Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0002504 Issued in CT

Legal business name

RIVER VALLEY NEUROPSYCHOLOGY LLC

Practice address

322 Main St Ste 2E-10
Willimantic, CT 06226-3152

Phone

(860) 230-8851

Fax

(860) 812-2317

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Sarah E Bullard

Title

PHD

Phone

(860) 230-8851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1295194546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GURLEYVILLE RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681416",
            "telephone_number": "860-230-8851",
            "fax_number": "860-812-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST STE 2E-10",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062263152",
            "telephone_number": "860-230-8851",
            "fax_number": "860-812-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "860-230-8851"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "0002504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Reynolds
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• Heather Maureen Ricard, COTA
• Ride 2 Care LLC
• Sahireliz Nasharie Rios-Bravo
• Dahiana Rivera
• Jimarie Rivera
• Lucelenia Rivera, LCSW
• Myriam Rivera
• Riverview Dental

• Clinical Neuropsychologist in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Clinical Neuropsychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.