Fairfield Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

002167 Issued in CT

Legal business name

FAIRFIELD NEUROPSYCHOLOGY LLC

Practice address

60 Thorpe St FL 2
Fairfield, CT 06824-5725

Phone

(203) 292-6886

Fax

(203) 212-9242

NPI assigned

Feb 2, 2018

Last updated

Feb 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine McCarthy, PHDNPI 1720232952

Title

Sole Proprietor/Provider

Phone

(203) 292-6886

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine McCarthy

  • Clinical Psychologist
  • Fairfield, CT
  • NPI 1720232952
  NPD Authorized official

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1730688920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 THORPE ST FL 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245725",
            "telephone_number": "203-292-6886",
            "fax_number": "203-212-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 THORPE ST FL 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245725",
            "telephone_number": "203-292-6886",
            "fax_number": "203-212-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/PROVIDER",
        "authorized_official_telephone_number": "203-292-6886",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "002167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Neuropsychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.