Individual provider Active NPI

Ralph Sperry, PH.D.,

  • Clinical Psychologist
  • Glastonbury, CT
National Provider Identifier
1295924546
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001051 Issued in CT
Practice address
397 Overlook Rd
Glastonbury, CT 06033-3719
Phone
(617) 413-0241
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3206 MA
Clinical Psychologist 103TC0700X 001051 CT Primary

Addresses

Primary practice location

397 Overlook Rd
Glastonbury, CT 06033-3719

Mailing address

397 Overlook Rd
Glastonbury, CT 06033-3719
Phone (617) 413-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624000533 NH Practitioner - Clinical Psychologist 6305923335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Lamora Psychological Associates, P.a.Group PAC ID 3072565472, 11 clinicians

Practice addresses (Care Compare)

39 Simon St
Suite 5
Nashua, NH 03060-3046
Phone (603) 889-8648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1585NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lamora Psychological Associates, P.a. Clinical CurrentSince Jun 17, 2025 Accepting new patients
Medoptions Behavioral Health Assoc, LLC Clinical Past Accepting new patients

Locations

10 Commerce Park North
Ste 1A
Bedford, NH 03110
Phone (603) 606-1233

39 Simon St
Ste 5
Nashua, NH 03060
Phone (603) 598-5400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1295924546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 OVERLOOK RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333719",
            "telephone_number": "617-413-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 OVERLOOK RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333719",
            "telephone_number": "617-413-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "3206",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.