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DANIEL R BROCKETT PHD LLC
NPI 1932466547
Clinical Neuropsychologist in Southbury, CT

Active since April 19, 2012
2 POMPERAUG OFFICE PARK, SUITE 206D, SOUTHBURY, CT 06488(203) 264-3050(203) 264-2426 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel R Brockett Phd Llc NPPES

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

DANIEL R BROCKETT PHD LLC (NPI 1932466547) is a healthcare organization registered as a clinical neuropsychologist in Southbury, Connecticut and active in the NPI registry since April 2012. The organization lists Daniel R. Brockett, Owner, as its authorized official.

NPPES Registry Identity

NPI1932466547
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameDANIEL R BROCKETT PHD LLC
Location Address2 POMPERAUG OFFICE PARK, SUITE 206DSouthbury, CT 06488-2288
Mailing Address2 Pomperaug Office Park, Suite 206dSouthbury, CT 06488-2288 · (203) 264-3050 · Fax (203) 264-2426
Phone(203) 264-3050
Fax(203) 264-2426
Organization SubpartNo
Authorized OfficialDaniel R. BrockettOwner · (203) 264-3050
Enumeration DateApril 19, 2012
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1932466547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CT · 001851
Definition
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.
2 POMPERAUG OFFICE PARK, Southbury, CT 06488
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel R Brockett Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20120918000772Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Daniel R Brockett Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Brockett, PH.D.
Clinical Psychologist
NPI 1801921333
2 POMPERAUG OFFICE PARK SUITE 206-D
Southbury, CT 06488
(203) 264-3050
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Daniel R Brockett Phd LLC's NPI number?

The NPI number for Daniel R Brockett Phd LLC is 1932466547. It was assigned to this organization in the NPPES registry on April 19, 2012.

Where is Daniel R Brockett Phd LLC located?

Daniel R Brockett Phd LLC is located at 2 Pomperaug Office Park Suite 206D, Southbury, CT 06488. The listed phone number is (203) 264-3050.

What is Daniel R Brockett Phd LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Daniel R Brockett Phd LLC enrolled in Medicare?

Yes. Daniel R Brockett Phd LLC is registered in the Medicare PECOS enrollment system.

When is Daniel R Brockett Phd LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Daniel R Brockett Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Daniel R Brockett Phd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Daniel R Brockett Phd LLC was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.