DR. PAULINE HOPPER JORDAN (NPI# 1245354232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245354232 |
| Entity Type | Individual |
| Full Name | DR. PAULINE HOPPER JORDAN |
| Credential | PHD |
| Practice Address |
132 E Putnam Ave Cos Cob CT 06807-2744 |
| Practice Telephone | 2036229868 |
| Mailing Telephone | 2036229868 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 001907 | CT | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 001907 | CT | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
001907 | CT | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
001907 | CT | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
001907 | CT | Behavioral Health & Social Service Providers |
| Street Address |
132 E PUTNAM AVE |
| City | COS COB |
| State | CT |
| Zip Code | 06807-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174551030 | Mary M Sullivan | Social Worker | 132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744 | 2006-06-29 |
| 1336645423 | Ej Lehman Associates Pllc | Clinic/Center | 132 E Putnam Ave, Cos Cob, CT 06807-2744 | 2018-04-05 |
| 1275814147 | Cos Cob Counseling Center | Social Worker | 132 E Putnam Ave, Suite H, Cos Cob, CT 06807-2744 | 2011-09-06 |
| 1508175050 | Elizabeth A. O'brien | Counselor | 132 E Putnam Ave, Cos Cob, CT 06807-2744 | 2010-10-01 |
| 1588846778 | Pamela Gail Sperling | Counselor | 132 E Putnam Ave, 2 East, Cos Cob, CT 06807-2744 | 2007-11-29 |
| 1902972649 | Tangley Canpbell Lloyd | Social Worker | 132 E Putnam Ave, Cos Cob, CT 06807 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999866 | Trevor M Flouty | Home Health Aide | 532 E Putnam Ave Ste 22, Cos Cob, CT 06807 | 2019-08-28 |
| 1780805036 | Richard A Greenberg | Dentist | 211 A East Putnam Avenue, Cos Cob, CT 06807 | 2007-05-02 |
| 1841312097 | Peter Harvey Maher | Specialist | 10 Hilton Heath, Cos Cob, CT 06807 | 2007-04-06 |
| 1174643530 | Maryellen Pachler Pachler Kennell | Nurse Practitioner | 399 East Putnam Ave., 2nd Floor Suite #1, Cos Cob, CT 06807 | 2007-03-30 |
| 1730249293 | Mary M Lennon | Counselor | 126 East Putnam Ave, 2nd Fl W, Cos Cob, CT 06807 | 2006-12-12 |
| 1508952375 | Michael John Mack | Dentist | 40 E. Putnam Ave., Cos Cob, CT 06807 | 2006-10-05 |
| 1366558454 | Kevin Allan Root | Counselor | 132 East Putnam Ave, Cos Cob, CT 06807 | 2006-08-22 |
| 1538666573 | Sean Sutton | Dentist | 391 E Putnam Ave, Cos Cob, CT 06807 | 2018-04-06 |
| 1306043062 | Jill V. Tesei | Counselor | 399 East Putnam Ave., 2nd Floor Suite 1, Cos Cob, CT 06807 | 2007-06-27 |
| 1184795759 | Ellen N Wolfson | Internal Medicine | 35 River Road, Cos Cob, CT 06807 | 2006-11-13 |
| Find all providers in zip 06807 | ||||
| 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 |
| 1992216790 | Brisman Associates In Neuropsychology, Pllc | Clinical Neuropsychologist | 433 S Main St Ste 225, West Hartford, CT 06110-2812 | 2017-10-19 |
| 1083157556 | Eva Troyb | Clinical Neuropsychologist | 26 Hawks Lndg, Amston, CT 06231-1659 | 2016-11-30 |
| 1669824702 | Martin D Oliveira Psy D LLC | Clinical Neuropsychologist | 10 N Main St Ste 1, West Hartford, CT 06107-1968 | 2016-07-12 |
| 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 |
| 1922424175 | Psych Solutions LLC | Clinical Neuropsychologist | 2795 Albany Ave, West Hartford, CT 06117-1804 | 2014-03-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.