The Developing And Aging Brain, LLC
Psychologist, Clinical in Brookfield, Connecticut
1104598978- Practice location
- 246 Federal RD Ste C23a, Brookfield, CT 06804-2640
- Phone
- 203-364-4828
- Fax
- —
- Last updated
- February 8, 2022
The Developing And Aging Brain, LLC is a healthcare organization based in Brookfield, CT. The Developing And Aging Brain, LLC practices in Brookfield, CT. The NPI Number for The Developing And Aging Brain, LLC is 1104598978. The current practice location address for The Developing And Aging Brain, LLC is 246 Federal RD Ste C23a, Brookfield, CT 06804-2640 and can be reached out via phone at 203-364-4828.
Provider Profile Details
- NPI Number
- 1104598978
- Provider Name
- The Developing And Aging Brain, LLC
- Provider Entity Type
- Organization
- Address
- 246 Federal RD Ste C23a, Brookfield, CT 06804-2640
- Phone Number
- 203-364-4828
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Ashley N Simone, PHD · Owner/Manager · 203-364-4828
- Provider Enumeration Date
- September 30, 2021
- Last Update Date
- February 8, 2022
- Certification Date
- February 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 246 Federal RD Ste C23a
Brookfield, CT 06804-2640 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2640
- Phone Number
- 203-364-4828
Provider Business Mailing Address Details
- Address
- 246 Federal RD Ste C23a
Brookfield, CT 06804-2640 - City
- Brookfield
- State
- CT
- Zip
- 06804-2640
- Phone Number
- 203-364-4828
License Information
- Taxonomy
- Psychologist, Clinical · 103TC0700X · 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 The Developing And Aging Brain, LLC?
The NPI number of The Developing And Aging Brain, LLC is 1104598978. It was assigned on September 30, 2021 and is currently active in the NPPES registry.
What is the specialty of The Developing And Aging Brain, LLC?
The Developing And Aging Brain, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does The Developing And Aging Brain, LLC practice?
The practice location is 246 Federal RD Ste C23a, Brookfield, CT 06804-2640. The office can be reached at 203-364-4828 (phone).
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 1104598978 directly on the NPPES registry website.