Geoffrey M Schnirman, PHD

Key facts

NPI

1376548867

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Neuropsychologist 103G00000X

Practice address

100 Perkins Farm Dr Ste 102
Mystic, CT 06355-4041

Phone

(860) 870-6385

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Hartford Healthcare Medical Group Specialists, PLLC Surgery Physician · Hartford, CT · NPI 1023584216
  Medicare reassignment Care Compare group NPD CT
• Hartford Hospital Surgery Physician · Hartford, CT · NPI 1407806391
  Medicare reassignment NPD CT
• Hartford Hospital General Acute Care Hospital · Hartford, CT · NPI 1770696643
  Medicare reassignment NPD CT
• Hartford Healthcare Medical Group Specialists LLC Customized Equipment (DME) · Groton, CT · NPI 1295367068
  NPD

Medicare Care Compare profile

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hartford Healthcare Medical Group Specialists PLLC (1,555 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100 (group)

Quality

83.36

Promoting interoperability

100

Improvement activities

40

Cost

75.9

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: geoffrey.schnirman@xdr.hhchealthdirect.org

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2022.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BCBS PROVIDER ID",
            "identifier": "26685-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LIC",
            "identifier": "003971",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP PROVIDER ID",
            "identifier": "411522",
            "state": "RI"
        }
    ],
    "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

• David Salm, MD
• Daniel Joseph Salvatore, M.S. MFT
• James David Scarles, M.D.
• Jessica Schilke, APRN
• Elena Schjavland, APRN
• Rachael Maria Schommer, COTA/L
• Lorrain Margaret Schwartz, RPT
• David Schwindt
• Seaport Clinic LLC
• Julie Selwyn, LPC

All providers in Mystic, CT · Clinical Neuropsychologist in Connecticut