Keene Neuropsychology Clinic PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1034 Issued in NH

Legal business name

KEENE NEUROPSYCHOLOGY CLINIC PLLC

Practice address

103 Roxbury St
Suite 300
Keene, NH 03431-8801

Phone

(603) 357-8378

Fax

(603) 357-8375

NPI assigned

Dec 18, 2007

Last updated

Nov 3, 2009By 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

Dr. Franklin C Brown, PH.D.

Title

Sole Member, Neuropsychologist

Phone

(603) 357-8378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1780868422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROXBURY ST",
            "address_2": "SUITE 300",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034318801",
            "telephone_number": "603-357-8378",
            "fax_number": "603-357-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROXBURY ST",
            "address_2": "SUITE 300",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034318801",
            "telephone_number": "603-357-8378",
            "fax_number": "603-357-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENE NEUROPSYCHOLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER, NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "603-357-8378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NH",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015110",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Keene, NH
• Providers in Keene, NH by specialty
• Clinical Neuropsychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.