WILLIAM A GRODMAN (NPI# 1932324191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932324191 |
| Entity Type | Individual |
| Full Name | WILLIAM A GRODMAN |
| Credential | PHD |
| Practice Address |
369 Georgetown Rd Weston CT 06883-1525 |
| Practice Telephone | 2032217908 |
| Mailing Telephone | 2032217908 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 002166 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS | 060002166CT01 | 01 |
| Street Address |
369 GEORGETOWN RD |
| City | WESTON |
| State | CT |
| Zip Code | 06883-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136614 | Lucy Chestler | Specialist/Technologist | 20 Merry Lane, Weston, CT 06883 | 2019-10-24 |
| 1073035465 | Eve Melissa Applebaum-dominick | Social Worker | 155 Steep Hill Rd., Weston, CT 06883 | 2017-07-07 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
| 1558666289 | Pamela Suzanne Schramm | Optometrist | 246 Federal Rd., Suite C-12, Brookfield, CT 06883 | 2011-01-11 |
| 1003032467 | Harry J Brown | Psychiatry & Neurology | 23 White Birch Road, Weston, CT 06883 | 2007-04-17 |
| 1245313493 | Elin R Cohen | Pediatrics | 4 Goodhill Rd, Weston, CT 06883 | 2006-10-23 |
| 1881959187 | Paul Edward Schwartz | Internal Medicine | 15 Cindy Ln, Weston, CT 06883 | 2012-07-12 |
| 1205901758 | Childrens Health Service | Pediatrics | 4 Goodhill Rd, Weston, CT 06883 | 2006-11-21 |
| 1497845549 | Gerald Lieberman | Pediatrics | 4 Goodhill Rd, Weston, CT 06883 | 2006-10-12 |
| 1386945145 | Denise Weber | Counselor | 18 Samuelson Rd, Weston, CT 06883-1009 | 2010-11-10 |
| Find all providers in zip 06883 | ||||
| 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 |
|---|---|---|---|---|
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1861664302 | Marta Rosa Jacobs | Clinical Neuropsychologist | 1599 Passion Vine Cir, Weston, FL 33326-3659 | 2008-03-25 |
| 1669543658 | Weaver Clinic | Clinical Neuropsychologist | 158 Boston Post Rd, Weston, MA 02493-2543 | 2006-11-13 |
| 1376573410 | Richard H Boozer | Clinical Neuropsychologist | 2900 S Commerce Pkwy, Weston, FL 33331-3622 | 2006-07-04 |
| 1659772598 | William R Sharpe Jr Hospital | Clinical Neuropsychologist | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2014-09-10 |
| 1396968020 | Beth Klein | Clinical Neuropsychologist | 1625 N Commerce Pkwy, Suite 200, Weston, FL 33326-3216 | 2007-04-11 |
| 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.