Neponset Valley Neuropsychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEPONSET VALLEY NEUROPSYCHOLOGY, LLC

Practice address

45 Walpole St Ste 6
Norwood, MA 02062-3319

Phone

(781) 769-1646

Fax

(781) 769-4696

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Deven M Mavani, PSYDNPI 1851652861

Title

Clinical Psychologist/Owner

Phone

(781) 769-1646

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Deven M Mavani, PSY.D

  • Psychologist
  • Norwood, MA
  • NPI 1851652861
  Medicare reassignment NPD Authorized official
• Alan Howard Gordon, EDD

  • Clinical Neuropsychologist
  • Norwood, MA
  • NPI 1689760654
  NPD (past)

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1356025928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WALPOLE ST STE 6",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623319",
            "telephone_number": "781-769-1646",
            "fax_number": "781-769-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WALPOLE ST STE 6",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623319",
            "telephone_number": "781-769-1646",
            "fax_number": "781-769-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPONSET VALLEY NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "MAVANI",
        "authorized_official_first_name": "DEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "781-769-1646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "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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• Carryl Paz Navalta, PH.D.
• Sue E Neff, LICSW
• Nephealth Associates PC
• Nephealth PC
• Neponset Valley Orthopedics, PC
• Michael P Nerney, DO
• Neurosurgical Consultants, Inc.
• Ingrid G. Nevins
• New England Dental Specialists of Norwood

• Clinical Psychologist in Norwood, MA
• Providers in Norwood, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.