New Connections Neuropsychology, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29300 Issued in CA

Legal business name

NEW CONNECTIONS NEUROPSYCHOLOGY, PC

Practice address

1057 Macarthur Blvd
Ste 214
San Leandro, CA 94577

Phone

(510) 944-0221

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Maryann Kruse Bens, PSYDNPI 1891296760

Title

President

Phone

(510) 944-0221

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryann Kruse Bens, PSY.D.

  • Clinical Psychologist
  • San Leandro, CA
  • NPI 1891296760

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532217600000",
    "number": "1871070052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 MACARTHUR BLVD",
            "address_2": "STE 214",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773000",
            "telephone_number": "510-944-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 MACARTHUR BLVD",
            "address_2": "STE 214",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-944-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CONNECTIONS NEUROPSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-22",
        "status": "A",
        "authorized_official_last_name": "BENS",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "KRUSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-944-0221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY29300",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29300",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29300",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY29300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1891296760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Katherine Nenninger, MD
• Angela Neuman
• Mira Paudel Neupane, FNP
• C. Michael Neuwelt, M.D.
• Bertha Elena Nevarez
• New Millennium Laparoscopy, P.C.
• Dennis Newlin, MFT
• Chandrika Newman-Zager, LCSW, MPH
• Monica Newman
• Brian John Newton

• Clinical Psychologist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.