GLASTONBURY PEDIATRIC NEUROPSYCHOLOGY
NPI 1043007792
Psychologist - Clinical in Glastonbury, CT

Q: What is Glastonbury Pediatric Neuropsychology's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 24, 2025

78 EASTERN BLVD, GLASTONBURY, CT 06033(860) 430-2736 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Glastonbury Pediatric Neuropsychology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLASTONBURY PEDIATRIC NEUROPSYCHOLOGY (NPI 1043007792) is a healthcare organization registered as a clinical in Glastonbury, Connecticut and active in the NPI registry since April 2025. The organization lists Krista Mraz, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1043007792

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGLASTONBURY PEDIATRIC NEUROPSYCHOLOGY

Location Address78 EASTERN BLVDGlastonbury, CT 06033-4325

Mailing Address78 Eastern BlvdGlastonbury, CT 06033-4325 · (860) 430-2736

Phone(860) 430-2736

Organization SubpartNo

Authorized OfficialKrista MrazClinical Psychologist · (860) 430-2736

Enumeration DateApril 24, 2025

NPPES CertifiedApril 24, 2025

✔ NPI 1043007792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

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.

78 EASTERN BLVD, Glastonbury, CT 06033

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENNY REARICK LCSW

Social Worker (Clinical)

78 EASTERN BLVD
GLASTONBURY, CT 06033

Capitol Planning Region (860) 794-9490

IRINA CHERNYSHKOVA, MD, LLC

Psychiatry & Neurology (Psychiatry)

78 EASTERN BLVD
GLASTONBURY, CT 06033

Capitol Planning Region (860) 328-8929

DEBORAH RADCLIFFE LCSW

Social Worker (Clinical)

78 EASTERN BLVD
GLASTONBURY, CT 06033

Capitol Planning Region (860) 966-4234

DR. DENISE KAREN STONE PSY.D.

Counselor (Mental Health)

78 EASTERN BLVD, SUITE # 4
GLASTONBURY, CT 06033

Capitol Planning Region (860) 830-0242

CONNECTICUT CHIROPRACTIC LLC

Chiropractor

78 EASTERN BLVD
GLASTONBURY, CT 06033

Capitol Planning Region (860) 659-9969

WHOLEBODY WELLNESS AND PHYSICAL THERAPY

Physical Therapist

78 EASTERN BLVD
GLASTONBURY, CT 06033

Capitol Planning Region (860) 916-5497

ADULT AND ADOLESCENT PSYCHOLOGICAL SERVICES, LLC

Psychologist (Clinical)

78 EASTERN BLVD, SUITE 4
GLASTONBURY, CT 06033

Capitol Planning Region (860) 633-7882

KATHLEEN ANN SHIMWELL LCSW

Counselor (Mental Health)

78 EASTERN BLVD
GLASTONBURY, CT 06033

Capitol Planning Region (860) 218-8387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glastonbury Pediatric Neuropsychology's NPI number?

The NPI number for Glastonbury Pediatric Neuropsychology is 1043007792. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Glastonbury Pediatric Neuropsychology located?

Glastonbury Pediatric Neuropsychology is located at 78 Eastern Blvd, Glastonbury, CT 06033. The listed phone number is (860) 430-2736.

What is Glastonbury Pediatric Neuropsychology's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Glastonbury Pediatric Neuropsychology was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.