Nova Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NOVA NEUROPSYCHOLOGY LLC

Practice address

110 Washington Ave Lowr Level
North Haven, CT 06473-1723

Phone

(203) 479-0554

Fax

(833) 411-6631

NPI assigned

Oct 26, 2018

Organization subpart

No

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

Authorized official

Name

Kristen Wrocklage, PHD

Title

Owner

Phone

(203) 479-0554

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1730656844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WASHINGTON AVE LOWR LEVEL",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731723",
            "telephone_number": "203-479-0554",
            "fax_number": "833-411-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WASHINGTON AVE LOWR LEVEL",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731723",
            "telephone_number": "203-479-0554",
            "fax_number": "833-411-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "WROCKLAGE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-479-0554",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Haven Public Schools
• North Haven Surgery Center LLC
• Northhavenfamilydental
• Megan Nosol, M.S., M.S.ED., MHS
• Nova Dental LLC
• Maria Nunley, LPC, LADC
• Nutmeg Counseling Services, LLC
• Nutmeg Medical Supply Inc
• Nutrtional Health Center
• Katie O'Connor

• Clinical Neuropsychologist in North Haven, CT
• Providers in North Haven, CT by specialty
• Clinical Neuropsychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.