Keven Murphy, PH.D.
Individual provider Active NPI Clinical Neuropsychologist · North Granby, CT
NPI 1346244142 · NPPES record last updated Aug 31, 2015
Key facts
- NPI
- 1346244142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 1058 (CT)
- Practice address
- 188 Granville Rd
North Granby, CT 06060-1301 - Phone
- (860) 653-4838
- Fax
- (860) 653-4838
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1058 | CT | Yes |
| Psychologist | 103T00000X | 1058 | CT |
Addresses
Primary practice location
188 Granville Rd
North Granby, CT 06060-1301
Mailing address
188 Granville Road
P. O. Box 216
North Granby, CT 06060-0216
Phone (860) 653-4838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346244142 | Other | CT | CIGNA |
| 1346244142 | Other | CT | UNITED BEHAVIORAL HEALTH |
| 1346244142 | Other | CT | DEPARTMENT OF REHABILITATION SERVICES - BUREAU OF REHABILITATION SERVICES |
| 1346244142 | Other | CT | VALUE OPTIONS |
| 1346244142 | Other | CT | AETNA |
| 1346244142 | Other | CT | CONNECTICARE |
| 060001058CT01 | Other | CT | ANTHEM BCBS |
| 1346244142 | Other | CT | UNITEDHEALTHCARE |
Other providers in North Granby, CT
- Companions for Living, LLC
- Anne Marie Cox
- Kathryn Rose Gibson
- Juliane Marks Morawski
- Mosaic Wellness and Psychiatry
- David Jacob Nochimson
- Tara Marie Pagliaro
- Stillpoint Inc
- Donna Swanson
- Ashley Sylvester
All providers in North Granby, CT · Clinical Neuropsychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.