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NEW CONNECTIONS NEUROPSYCHOLOGY PC NPI 1871070052


NPI Information

NPI: 1871070052
Provider Name: NEW CONNECTIONS NEUROPSYCHOLOGY, PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1057 MACARTHUR BLVD
STE 214
SAN LEANDRO, CA
ZIP 94577
Phone: (510) 944-0221
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NEW CONNECTIONS NEUROPSYCHOLOGY, PC is a clinical psychologist in San Leandro, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NEW CONNECTIONS NEUROPSYCHOLOGY, PC NPI is 1871070052. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1057 MACARTHUR BLVD
STE 214
SAN LEANDRO, CA
ZIP 94577
Phone: (510) 944-0221

The provider's authorized official is Maryann Kruse Bens .
The authorized official title is President and has the following contact phone number (510) 944-0221.

The enumeration date for this NPI number is 7/20/2018 and was last updated on 7/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPSY29300CALIFORNIANo
2103T00000XPsychologistPSY29300CALIFORNIANo
3103TR0400XPsychologistRehabilitationPSY29300CALIFORNIANo
4103TC0700XPsychologistClinicalPSY29300CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891296760OTHERNPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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