NPIMap

Organization Active NPI

Neuroperformance Group, L.L.C

  • Clinical Neuropsychologist
  • Providence, RI
National Provider Identifier
1902329667
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROPERFORMANCE GROUP, L.L.C
Practice address
Two Regency Plaza
Suite 3
Providence, RI 02903
Phone
(401) 484-1706
Fax
(401) 437-6959
NPI assigned
Jul 24, 2017
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Dr. Rebecca Anne Frederick, PSYD
Title
Owner, Psychologist
Phone
(917) 402-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

Two Regency Plaza
Suite 3
Providence, RI 02903

Mailing address

Two Regency Plaza
Suite 3
Providence, RI 02903
Phone (401) 484-1706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1902329667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TWO REGENCY PLAZA",
            "address_2": "SUITE 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-484-1706",
            "fax_number": "401-437-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO REGENCY PLAZA",
            "address_2": "SUITE 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-484-1706",
            "fax_number": "401-437-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPERFORMANCE GROUP, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-402-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.