NEUROPERFORMANCE GROUP, L.L.C (NPI# 1902329667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902329667 |
Entity Type | Organization |
Organization Name | NEUROPERFORMANCE GROUP, L.L.C |
Practice Address |
Two Regency Plaza Suite 3 Providence RI 02903 |
Practice Telephone | 4014841706 |
Practice Fax Number | 4014376959 |
Mailing Telephone | 4014841706 |
Mailing Fax Number | 4014376959 |
Enumeration Date | 2017-07-24 |
Last Update Date | 2018-03-22 |
Authorized Official Name | DR. REBECCA ANNE FREDERICK (OWNER, PSYCHOLOGIST) |
Authorized Official Telephone | 9174022880 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
Street Address |
TWO REGENCY PLAZA SUITE 3 |
City | PROVIDENCE |
State | RI |
Zip Code | 02903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
Find all providers in zip 02903 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689299661 | Laura Elizabeth Korthauer Gilmour | Clinical Neuropsychologist | 110 Lockwood St Ste 430, Providence, RI 02903-4815 | 2020-06-15 |
1992339501 | Carmen G Armengol | Clinical Neuropsychologist | 58 Rochambeau Ave, Providence, RI 02906-1908 | 2020-02-24 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
1871856484 | Rachel K Baldwin | Clinical Neuropsychologist | 355 Hope Street, 2nd Floor, Unit 6, Providence, RI 02906 | 2012-06-19 |
1932338951 | Melissa Perkins-banas | Clinical Neuropsychologist | 260 W Exchange St Ste 210, Providence, RI 02903-1000 | 2009-07-12 |
1578570735 | Steven J. Hirsch | Clinical Neuropsychologist | 1 Richmond Sq Ste 104c, Providence, RI 02906-5154 | 2006-08-01 |
1508485301 | Brian Charles Castelluccio | Clinical Neuropsychologist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-04-11 |
1770130692 | Louisa Isoud Thompson | Clinical Neuropsychologist | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2019-08-26 |
1336608843 | Sarah Catherine Pillemer | Clinical Neuropsychologist | 146 W River St Ste 11a, Providence, RI 02904-2609 | 2019-03-14 |
1952819484 | Seth Aaron Margolis | Clinical Neuropsychologist | 146 W River St Ste 11a, Providence, RI 02904 | 2018-01-18 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02903 |
Please comment or provide details below to improve the information on NEUROPERFORMANCE GROUP, L.L.C.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.