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DR. DOROTHY AGNES MARTIN-NEVILLE PH.D.
NPI 1477750404
Specialist in Bloomfield, CT

Active since July 02, 2007PECOS Enrolled
2 WINTONBURY MALL, BLOOMFIELD, CT 06002(860) 286-5400(860) 286-5402 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dorothy Agnes Martin-neville Ph.d. NPPES

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

DR. DOROTHY AGNES MARTIN-NEVILLE PH.D. (NPI 1477750404) is an individual specialist in Bloomfield, Connecticut, licensed in Connecticut (LMFT - 000492) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1477750404
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. DOROTHY AGNES MARTIN-NEVILLECredential: PH.D.
Location Address2 WINTONBURY MALLBloomfield, CT 06002-2466
Mailing Address2 Wintonbury MallBloomfield, CT 06002-2466 · (860) 286-5400 · Fax (860) 286-5402
Phone(860) 286-5400
Fax(860) 286-5402
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477750404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in CT · LMFT - 000492✔ Licensed in CT · LPC - 000800
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 WINTONBURY MALL, Bloomfield, CT 06002
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dorothy Agnes Martin-neville Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274026497
PECOS Enrollment IDI20251204004501
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

DR. ALPHONSO L. MACK D.M.D.
Dentist (General Practice)
2 WINTONBURY MALL, BUILDING #5
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-5451
BLOOMFIELD FAMILY DENTAL PC
Dentist (General Practice)
2 WINTONBURY MALL, #5
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 656-6941
HEBREW COMMUNITY SERVICES INC
Home Health
2 WINTONBURY MALL
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 522-3380
WINTONBURY DENTAL ASSOCIATES, P.C.
Dentist (General Practice)
2 WINTONBURY MALL
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-5451

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 Dorothy Martin-neville's NPI number?

The NPI number for Dorothy Martin-neville is 1477750404. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Dorothy Martin-neville located?

Dorothy Martin-neville practices at 2 Wintonbury Mall, Bloomfield, CT 06002. The listed phone number is (860) 286-5400.

What is Dorothy Martin-neville's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dorothy Martin-neville enrolled in Medicare?

Yes. Dorothy Martin-neville is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dorothy Martin-neville was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.