Active NPI
Geoffrey M Schnirman, PHD
- Clinical Neuropsychologist
- Mystic, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 100 Perkins Farm Dr Ste 102
Mystic, CT 06355-4041 - Phone
- (860) 870-6385
- NPI assigned
- Jun 20, 2005
- Last updated
- Jul 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS00813 | RI | |
| Clinical Psychologist | 103TC0700X | PS00813 | RI | |
| Clinical Neuropsychologist | 103G00000X | CT | Primary |
Addresses
Primary practice location
100 Perkins Farm Dr Ste 102
Mystic, CT 06355-4041
Mailing address
100 Perkins Farm Drive
Suite 102
Mystic, CT 06355
Phone (401) 486-4374
Other practice location 1
NBHC Groton, TBI Clinic
1 Wahoo Ave, Bldg 449
Groton, CT 06349-5600
Phone (860) 694-1028
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | geoffrey.m.schnirman.ctr@mail.mil | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003971 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients |
Locations
1 Wahoo Ave
Bldg 449
Groton, CT 06349
Phone (860) 694-1028
200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000
100 Perkins Farm Dr
Ste 102
Mystic, CT 06355
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- geoffrey.m.schnirman.ctr@mail.mil
- geoffrey.schnirman@xdr.hhchealthdirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1376548867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PERKINS FARM DRIVE",
"address_2": "SUITE 102",
"city": "MYSTIC",
"state": "CT",
"postal_code": "06355",
"telephone_number": "401-486-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PERKINS FARM DR STE 102",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063554041",
"telephone_number": "860-870-6385"
}
],
"practiceLocations": [
{
"address_1": "NBHC Groton, TBI Clinic",
"address_2": "1 Wahoo Ave, Bldg 449",
"address_purpose": "LOCATION",
"city": "Groton",
"state": "CT",
"postal_code": "063495600",
"country_code": "US",
"telephone_number": "860-694-1028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNIRMAN",
"first_name": "GEOFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "PS00813",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00813",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "geoffrey.m.schnirman.ctr@mail.mil",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Text and file attachments",
"address_1": "NBHC Groton, TBI Clinic",
"address_2": "1 Wahoo Ave, Bldg 449",
"city": "Groton",
"state": "CT",
"country_code": "US",
"postal_code": "063495600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.