Individual provider Active NPI

Geoffrey M Schnirman, PHD

  • Clinical Neuropsychologist
  • Mystic, CT
National Provider Identifier
1376548867
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026000241 CT Practitioner - Clinical Psychologist 7810991973 Reassigns benefits to 3 organizations

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
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
003971CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 28, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 28, 2020 Accepting new patients
Hartford Hospital CurrentSince Nov 23, 2020 Accepting new patients
Hartford Hospital CurrentSince Nov 23, 2020 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

  • Direct secure messaging: geoffrey.m.schnirman.ctr@mail.mil
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.