University Neuropsychology, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

8703 Issued in MA

Legal business name

UNIVERSITY NEUROPSYCHOLOGY, INC.

Practice address

364 Harvard St
Suite 1
Brookline, MA 02446-2920

Phone

(617) 877-5978

Fax

(206) 666-3687

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Miles Tarter, PSY.D.

Title

President

Phone

(617) 877-5978

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

University Neuropsychology Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• University Neuropsychology, Inc.

  • Clinical Neuropsychologist
  • Brookline, MA
  • NPI 1780052944
  NPD tax ID

Locations

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1861636045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 DUTTON ST",
            "address_2": "#304",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544289",
            "telephone_number": "617-877-5978",
            "fax_number": "206-666-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 HARVARD ST",
            "address_2": "SUITE 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462920",
            "telephone_number": "617-877-5978",
            "fax_number": "206-666-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY NEUROPSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "TARTER",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-877-5978",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "8703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659498103",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ulanovsky
• Ultrasound Images, Inc.
• Patty Underwood, LICSW
• Jeane Ungerleder, LICSW BCD
• University Neuropsychology, Inc.
• Dhwani Upadhyay, DMD
• Miriam Urbach, PT
• Boris Urman, D.M.D.
• Sergey M. Urman, MD
• Jasmine Urquhart, CCC-SLP

• Clinical Neuropsychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.