Brownstone Psychological Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003123 Issued in CT

Legal business name

BROWNSTONE PSYCHOLOGICAL ASSOCIATES, LLC

Practice address

199 Main Street
Durham, CT 06422

Phone

(860) 788-3231

Fax

(888) 844-4036

NPI assigned

Sep 3, 2012

Last updated

Sep 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Debra Shepard NelsonNPI 1851640148

Title

President (Co-Owner)

Phone

(860) 788-3231

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Shepard Nelson, PSY.D.

  • Clinical Psychologist
  • Durham, CT
  • NPI 1851640148
  Medicare reassignment Care Compare group NPD Authorized official
• Stacia Bjarnason, PHD

  • Counseling Psychologist
  • Wallingford, CT
  • NPI 1932454550
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1386993574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064220002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN STREET",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "06422",
            "telephone_number": "860-788-3231",
            "fax_number": "888-844-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSTONE PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SHEPARD",
        "authorized_official_title_or_position": "PRESIDENT (CO-OWNER)",
        "authorized_official_telephone_number": "860-788-3231",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002321",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Within, LLC
• Gina Barbetta, RD
• Jillian King Bevis, BCBA, CTLBA
• Rosanne Branciforte
• Anna Brennan
• Theodore Bruno, MD
• Cade Steven Buckheit
• James Burgess, LMT
• John M Carbone, MD
• Bianca Carrero, LPC

• Clinical Psychologist in Durham, CT
• Providers in Durham, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.