NPIMap

Organization Active NPI

Clinical Neuroscience Research Associates, Inc.

  • Neurology Physician
  • Bennington, VT
National Provider Identifier
1700916137
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CLINICAL NEUROSCIENCE RESEARCH ASSOCIATES, INC.
Practice address
357 Shields Dr
Bennington, VT 05201-9810
Phone
(802) 447-1409
Fax
(802) 442-5199
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Cynthia Murphy, PSYD, MBA
Title
Executive Director
Phone
(802) 447-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

357 Shields Dr
Bennington, VT 05201-9810

Mailing address

357 Shields Dr
Bennington, VT 05201-9810
Phone (802) 447-1409

Other names 1

  • The Memory Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

100 Hospital Dr
Fl 3
Bennington, VT 05201
Phone (802) 447-1409

Practitioners & affiliated clinicians

Practitioners 7

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1700916137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 SHIELDS DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019810",
            "telephone_number": "802-447-1409",
            "fax_number": "802-442-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 SHIELDS DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019810",
            "telephone_number": "802-447-1409",
            "fax_number": "802-442-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEUROSCIENCE RESEARCH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-447-1409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MBA"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Memory Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.