NEUROPERFORMANCE GROUP, L.L.C
NPI 1902329667
Clinical Neuropsychologist in Providence, RI

Active since July 24, 2017
TWO REGENCY PLAZA, SUITE 3, PROVIDENCE, RI 02903(401) 484-1706(401) 437-6959 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 22, 2018, Jul 24, 2017 (2 updates tracked since 2017).

  • Organization
  • Clinical Neuropsychologist

About NEUROPERFORMANCE GROUP, L.L.C

This page provides the complete NPI Profile along with additional information for Neuroperformance Group, L.l.c, a provider established in Providence, Rhode Island operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1902329667 assigned on July 2017. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Neuroperformance Group, L.l.c operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Rebecca Anne Frederick Psyd (Owner, Psychologist)

NPI
1902329667 Verify this NPI
Provider Name
NEUROPERFORMANCE GROUP, L.L.C
Entity Type
Organization
Location Address
TWO REGENCY PLAZA SUITE 3 PROVIDENCE, RI 02903
Location Phone
(401) 484-1706
Location Fax
(401) 437-6959
Mailing Address
TWO REGENCY PLAZA SUITE 3 PROVIDENCE, RI 02903
Mailing Phone
(401) 484-1706
Mailing Fax
(401) 437-6959
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2017
Last Update Date
03-22-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. REBECCA ANNE FREDERICK PSYD

Authorized Official Title
OWNER, PSYCHOLOGIST
Authorized Official Phone
(917) 402-2880

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902329667, enumerated as an "organization" on July 24, 2017.

The provider is located at TWO REGENCY PLAZA SUITE 3 PROVIDENCE, RI 02903 and the phone number is (401) 484-1706.

Clinical Neuropsychologist with taxonomy code 103G00000X.