Center for Neuropotential

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

002416 Issued in CT

Legal business name

CENTER FOR NEUROPOTENTIAL

Practice address

173 Montowese St
Rear Unit
Branford, CT 06405-3887

Phone

(475) 221-8108

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amy Palmer, PSYD

Title

Partner

Phone

(475) 221-8108

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1467992453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MONTOWESE ST",
            "address_2": "REAR UNIT",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MONTOWESE ST",
            "address_2": "REAR UNIT",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053887",
            "telephone_number": "475-221-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROPOTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "475-221-8108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "002416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Neuropsychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.