Active NPI
Martin D Oliveira Psy D LLC
- Clinical Neuropsychologist
- West Hartford, CT
National Provider Identifier
1669824702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 002930
- Legal business name
- MARTIN D OLIVEIRA PSY D LLC
- Practice address
- 10 N Main St Ste 1
West Hartford, CT 06107-1968 - Phone
- (860) 519-5227
- Fax
- (845) 728-0667
- NPI assigned
- Jul 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Oliveira, PSY.D
- Title
- Owner
- Phone
- (860) 519-5227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 002930 | CT | Primary |
Addresses
Primary practice location
10 N Main St Ste 1
West Hartford, CT 06107-1968
Mailing address
14 Ridgewood Rd
West Hartford, CT 06107-2719
Phone (860) 519-5227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- West Hartford, CT
- NPI 1255565479
-
- Clinical Neuropsychologist
- Hartford, CT
- NPI 1215542436
-
- Clinical Psychologist
- West Hartford, CT
- NPI 1124738521
-
- Clinical Neuropsychologist
- Hartford, CT
- NPI 1629404017
-
- Clinical Psychologist
- West Hartford, CT
- NPI 1497545180
-
- Clinical Neuropsychologist
- Windsor, CT
- NPI 1881924439
-
- Clinical Neuropsychologist
- Hartford, CT
- NPI 1871844621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468281600000",
"number": "1669824702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RIDGEWOOD RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072719",
"telephone_number": "860-519-5227",
"fax_number": "845-728-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N MAIN ST STE 1",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071968",
"telephone_number": "860-519-5227",
"fax_number": "845-728-0667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN D OLIVEIRA PSY D LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A",
"authorized_official_last_name": "OLIVEIRA",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-519-5227",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CT",
"license": "002930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.