BRISMAN ASSOCIATES IN NEUROPSYCHOLOGY, PLLC (NPI# 1992216790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992216790 |
| Entity Type | Organization |
| Organization Name | BRISMAN ASSOCIATES IN NEUROPSYCHOLOGY, PLLC |
| Other Organization Name | BRAIN SERVICES |
| Practice Address |
433 S Main St Ste 225 West Hartford CT 06110-2812 |
| Mailing Address |
Po Box 370113 West Hartford CT 06137-0113 |
| Practice Telephone | 8607072775 |
| Practice Fax Number | 8607072775 |
| Mailing Telephone | 8607072775 |
| Mailing Fax Number | 8605401114 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | DR. MICHELLE ANN BRISMAN (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 8607072775 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 002344 | CT | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Brain Services | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | BRISMAN ASSOCIATES IN NEUROPSYCHOLOGY, PLLC | 88 Carriage Drive, Avon, CT 06001 |
| Street Address |
433 S MAIN ST STE 225 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1962903492 | Mitchell Graham | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110 | 2018-02-21 |
| 1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
| 1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
| 1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
| 1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
| Find all providers in zip 06110 | ||||
| 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 |
|---|---|---|---|---|
| 1548761224 | Shumita Roy | Clinical Neuropsychologist | 18 N Main St Fl 2, West Hartford, CT 06107-1970 | 2018-02-27 |
| 1669824702 | Martin D Oliveira Psy D LLC | Clinical Neuropsychologist | 10 N Main St Ste 1, West Hartford, CT 06107-1968 | 2016-07-12 |
| 1922424175 | Psych Solutions LLC | Clinical Neuropsychologist | 2795 Albany Ave, West Hartford, CT 06117-1804 | 2014-03-12 |
| 1669698312 | Marsha R. Cohen | Clinical Neuropsychologist | 41 Crabapple Rd, West Hartford, CT 06117-2008 | 2007-04-18 |
| 1881754836 | Michael Nicholas Fulco | Clinical Neuropsychologist | 1155 New Britain Ave, West Hartford, CT 06110-2486 | 2006-12-11 |
| 1538207832 | Geraldine Rose Cassens | Clinical Neuropsychologist | 61 South Main Street, Suite 203, West Hartford, CT 06107-1911 | 2007-02-01 |
| 1942367776 | Marshall Gladstone | Clinical Neuropsychologist | 18 N Main St, Third Floor, West Hartford, CT 06107-1970 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083157556 | Eva Troyb | Clinical Neuropsychologist | 26 Hawks Lndg, Amston, CT 06231-1659 | 2016-11-30 |
| 1497151245 | Connecticut Neuropsychological Associates, LLC | Clinical Neuropsychologist | 40 Connecticut Ave, Norwich, CT 06360-1502 | 2014-11-06 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1194157313 | Ginger Mills | Clinical Neuropsychologist | 623 Newfield Ave, Stamford, CT 06905-3302 | 2013-07-30 |
| 1144561051 | Western Connecticut Behavioral Health | Clinical Neuropsychologist | 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 | 2013-03-04 |
| 1043569288 | David Porrino | Clinical Neuropsychologist | 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 | 2012-09-04 |
| 1285902387 | Lori Wagner | Clinical Neuropsychologist | 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877 | 2011-12-05 |
| 1619264785 | Shari Levine | Clinical Neuropsychologist | 88 Rock Rimmon Rd, Stamford, CT 06903-2817 | 2011-07-08 |
| 1730475468 | Kenneth Hamilton Magrath | Clinical Neuropsychologist | 60 Post Rd W, Westport, CT 06880-4208 | 2011-06-21 |
| 1336476340 | Kay M Long | Clinical Neuropsychologist | 234 Church St Ste 300, New Haven, CT 06510-1800 | 2009-11-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06110 |
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| 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.