Organization Active NPI

Pivotal Research LLC

  • Clinical Neuropsychologist
  • Newton, MA
National Provider Identifier
1699497545
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
PIVOTAL RESEARCH LLC
Practice address
1172 Beacon St Ste 101
Newton, MA 02461-1147
Phone
(617) 993-4567
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Dr. Virginie Patt, PH.D.NPI 1114660925
Title
Clinical Neuropsychologist
Phone
(617) 993-4567

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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

1172 Beacon St Ste 101
Newton, MA 02461-1147

Mailing address

12 Middlesex Rd Unit 67122
Chestnut Hill, MA 02467-6705
Phone (617) 993-4567

Other names 1

  • Center for Cognitive Testing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230201000173 MA Part B Supplier - Clinic/Group Practice 5597136432 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Locations

12 Middlesex Rd
Unit 67122
Chestnut Hill, MA 02467

1172 Beacon St
Ste 101
Newton Highlands, MA 02461
Phone (617) 332-1881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1699497545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MIDDLESEX RD UNIT 67122",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024676705",
            "telephone_number": "617-993-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 BEACON ST STE 101",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611147",
            "telephone_number": "617-993-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "PATT",
        "authorized_official_first_name": "VIRGINIE",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "617-993-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Cognitive Testing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Cognitive Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.