Northern Neuropsychology, LLC
Clinical Neuropsychologist in Winchester, Massachusetts
1003711078- Practice location
- 540 Main St Ste 17A, Winchester, MA 01890-2940
- Phone
- 781-710-6105
- Fax
- 617-231-9581
- Last updated
- October 10, 2026
Northern Neuropsychology, LLC is a healthcare organization based in Winchester, MA. Northern Neuropsychology, LLC practices in Winchester, MA. The NPI Number for Northern Neuropsychology, LLC is 1003711078. The current practice location address for Northern Neuropsychology, LLC is 540 Main St Ste 17A, Winchester, MA 01890-2940 and can be reached out via phone at 781-710-6105 and via fax at 617-231-9581.
Provider Profile Details
- NPI Number
- 1003711078
- Provider Name
- Northern Neuropsychology, LLC
- Provider Entity Type
- Organization
- Address
- 540 Main St Ste 17A, Winchester, MA 01890-2940
- Phone Number
- 781-710-6105
- Fax Number
- 617-231-9581
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Nicole Kassissieh, PSYD · Owner/Founder · 781-710-6105
- Provider Enumeration Date
- October 10, 2026
- Last Update Date
- October 10, 2026
- Certification Date
- October 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 540 Main St Ste 17A
Winchester, MA 01890-2940 - City
- Winchester
- State
- Massachusetts
- Zip
- 01890-2940
- Phone Number
- 781-710-6105
- Fax Number
- 617-231-9581
Provider Business Mailing Address Details
- Address
- 540 Main St Ste 17A
Winchester, MA 01890-2940 - City
- Winchester
- State
- MA
- Zip
- 01890-2940
- Phone Number
- 781-710-6105
- Fax Number
- 617-231-9581
License Information
- Taxonomy
- Clinical Neuropsychologist · 103G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Northern Neuropsychology, LLC?
The NPI number of Northern Neuropsychology, LLC is 1003711078. It was assigned on October 10, 2026 and is currently active in the NPPES registry.
What is the specialty of Northern Neuropsychology, LLC?
Northern Neuropsychology, LLC is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X).
Where does Northern Neuropsychology, LLC practice?
The practice location is 540 Main St Ste 17A, Winchester, MA 01890-2940. The office can be reached at 781-710-6105 (phone) or 617-231-9581 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003711078 directly on the NPPES registry website.