Organization Active NPI

Brisman Associates in Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • West Hartford, CT
National Provider Identifier
1992216790
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
002344 Issued in CT
Legal business name
BRISMAN ASSOCIATES IN NEUROPSYCHOLOGY, PLLC
Practice address
433 S Main St Ste 225
West Hartford, CT 06110-2812
Phone
(860) 707-2775
Fax
(860) 707-2775
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Dr. Michelle Ann Brisman, PH.D.
Title
Neuropsychologist
Phone
(860) 707-2775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 002344 CT Primary

Addresses

Primary practice location

433 S Main St Ste 225
West Hartford, CT 06110-2812

Mailing address

PO Box 370113
West Hartford, CT 06137-0113
Phone (860) 707-2775

Other names 1

  • Brain Services Other name

National Provider Directory

National Provider Directory

Locations

433 S Main St
Ste 225
West Hartford, CT 06110
Phone (860) 207-9449

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1992216790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370113",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061370113",
            "telephone_number": "860-707-2775",
            "fax_number": "860-540-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S MAIN ST STE 225",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102812",
            "telephone_number": "860-707-2775",
            "fax_number": "860-707-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISMAN ASSOCIATES IN NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "BRISMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "860-707-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "002344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.