Active NPIIndividual providerSole proprietor

Dr. Steven Boksenbaum, PHD

Clinical Neuropsychologist in Greenwich, Connecticut

NPI Number1558074773
Practice location
100 Melrose Ave Ste 203, Greenwich, CT 06830-6277
Fax
—
Last updated
January 3, 2023

Steven Boksenbaum is a Clinical Neuropsychologist based in Greenwich, CT. Steven Boksenbaum practices in Greenwich, CT and has the professional credentials of PHD. The NPI Number for Steven Boksenbaum is 1558074773 and holds a License No. 002186 (CT). The current practice location address for Steven Boksenbaum is 100 Melrose Ave Ste 203, Greenwich, CT 06830-6277 and can be reached out via phone at 203-613-7311.

Provider Profile Details

NPI Number
1558074773
Provider Name
Steven Boksenbaum
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
100 Melrose Ave Ste 203, Greenwich, CT 06830-6277
Phone Number
203-613-7311
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 3, 2023
Last Update Date
January 3, 2023
Certification Date
January 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Melrose Ave Ste 203
Greenwich, CT 06830-6277
Zip
06830-6277
Phone Number
203-613-7311
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
100 Melrose Ave Ste 203
Greenwich, CT 06830-6277
City
Greenwich
State
CT
Zip
06830-6277
Phone Number
203-613-7311

License Information

License Number (1)
002186
License State (1)
CT
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
002186
License State (2)
CT
Taxonomy (2)
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Steven Boksenbaum, PHD?

The NPI number of Dr. Steven Boksenbaum, PHD is 1558074773. It was assigned on January 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Steven Boksenbaum, PHD?

Dr. Steven Boksenbaum, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in CT under license number 002186.

Where does Dr. Steven Boksenbaum, PHD practice?

The practice location is 100 Melrose Ave Ste 203, Greenwich, CT 06830-6277. The office can be reached at 203-613-7311 (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 1558074773 directly on the NPPES registry website.

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