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

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah E BullardNPI 1417963596

Title

PHD

Phone

(860) 230-8851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah E Bullard, PHD

  • Clinical Neuropsychologist
  • Willimantic, CT
  • NPI 1417963596
  Authorized official Same address or phone

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": []
}

• Maurice Edward Reynolds, FNP-C
• Heather Maureen Ricard, COTA
• Ride 2 Care LLC
• Sahireliz Nasharie Rios-Bravo
• Jerad Ripley, LCSW
• 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.