Dorothy Agnes Martin-Neville, PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

LMFT - 000492 Issued in CT

Practice address

2 Wintonbury Mall
Bloomfield, CT 06002-2466

Phone

(860) 286-5400

Fax

(860) 286-5402

NPI assigned

Jul 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477750404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WINTONBURY MALL",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022466",
            "telephone_number": "860-286-5400",
            "fax_number": "860-286-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WINTONBURY MALL",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022466",
            "telephone_number": "860-286-5400",
            "fax_number": "860-286-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-NEVILLE",
        "first_name": "DOROTHY",
        "middle_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "LMFT - 000492",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "LPC - 000800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Mandelbaum
• Marc Jeffrey Mann, PHD
• Katherine Mara
• Mark Josel, M.D.,P.C.
• Pili Shakeel Jay Marley, PT, DPT
• Yolanda Martinez-Jones, LCSW
• Marva Beckford LCSW, LLC
• Jonathan Eric Mason, D.M.D.
• Stephen H Mason, D.M.D.
• James B Mathews, PH.D.

• Specialist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.