NEUROPERFORMANCE GROUP, L.L.C


Address: Two Regency Plaza, Suite 3, Providence, RI 02903
Phone: 4014841706

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Office Location

Street Address TWO REGENCY PLAZA
SUITE 3
City PROVIDENCE
State RI
Zip Code 02903

Providers in the same zip code

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 Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

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City PROVIDENCE
Zip Code 02903

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Dataset Information

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.

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