NEURODEVELOPMENTAL EDUCATIONAL SERVICES, PLLC (NPI# 1548775190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548775190 |
| Entity Type | Organization |
| Organization Name | NEURODEVELOPMENTAL EDUCATIONAL SERVICES, PLLC |
| Practice Address |
26 Edgehill Road Brookline MA 02445 |
| Mailing Address |
26 Edgehill Rd Brookline MA 02445-7722 |
| Practice Telephone | 6177771270 |
| Practice Fax Number | 6173074052 |
| Mailing Telephone | 6177771270 |
| Mailing Fax Number | 6173074052 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Authorized Official Name | KATHERINE GAMBLE (PARTNER) |
| Authorized Official Telephone | 6177771270 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
113492 | MA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 7942 | MA | Behavioral Health & Social Service Providers |
| Street Address |
26 EDGEHILL ROAD |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| 1104195981 | Kshitij Chaudhary | Orthopaedic Surgery | 44 Washigton Street #217, Brookline, MA 02445 | 2011-12-22 |
| Find all providers in zip 02445 | ||||
| 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 |
|---|---|---|---|---|
| 1447394846 | Richard B Gould | Clinical Neuropsychologist | 99 Kent St # 7106, Brookline, MA 02445-7955 | 2007-02-18 |
| 1184780561 | Neal Mcgrath | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2006-12-29 |
| 1639251093 | Ravi Gatha | Clinical Neuropsychologist | 41 Garrison Rd, Brookline, MA 02445-4445 | 2006-10-19 |
| 1912569617 | Jennifer Grace Forrester | Clinical Neuropsychologist | 1368 Beacon St, Brookline, MA 02446-2872 | 2019-07-02 |
| 1962927947 | Vanessa D'orio | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2017-08-10 |
| 1700241130 | Samantha Johnston | Clinical Neuropsychologist | 26 Edgehill Rd, Brookline, MA 02445-7722 | 2015-12-30 |
| 1780052944 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2015-09-04 |
| 1407250863 | Kara M Fitzgerald | Clinical Neuropsychologist | 1180 Beacon St Ste 4b, Brookline, MA 02446 | 2014-10-14 |
| 1285983759 | Alexandra Jackson | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2012-08-30 |
| 1861636045 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2009-05-01 |
| Find all providers in BROOKLINE | ||||
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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.