SHORELINE PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC
NPI 1992999767
Clinical Neuropsychologist in Old Saybrook, CT

Q: What is Shoreline Pediatric Neuropsychological Services, LLC's specialty?

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

Active since September 05, 2007

954 MIDDLESEX TPKE, STE A2, OLD SAYBROOK, CT 06475(860) 388-2000(860) 388-2000 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shoreline Pediatric Neuropsychological Services, Llc NPPES

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

SHORELINE PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC (NPI 1992999767) is a healthcare organization registered as a clinical neuropsychologist in Old Saybrook, Connecticut and active in the NPI registry since September 2007. The organization lists Shelley Frazier Pelletier, Pediatric Neuropsychology, as its authorized official.

NPPES Registry Identity

NPI1992999767

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameSHORELINE PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC

Location Address954 MIDDLESEX TPKE, STE A2Old Saybrook, CT 06475-1302

Mailing AddressPo Box 303Old Saybrook, CT 06475 · (860) 388-2000 · Fax (860) 388-2000

Phone(860) 388-2000

Fax(860) 388-2000

Organization SubpartNo

Authorized OfficialShelley Frazier PelletierPediatric Neuropsychology · (860) 388-2000

Enumeration DateSeptember 5, 2007

Last NPPES UpdateApril 6, 2015

✔ NPI 1992999767 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 · 2736

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.

954 MIDDLESEX TPKE, Old Saybrook, CT 06475

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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

Other Providers at the Same Location NPPES 5

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

JULIA L. ISRAELSKI, LCSW, LLC

Social Worker (Clinical)

954 MIDDLESEX TPKE, SUITE A2
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 575-8074

CAROLYN KOERNER MANGIAFICO LLC

Social Worker (Clinical)

954 MIDDLESEX TPKE
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 208-1026

BRITTANY SANCHEZ, LPC

Counselor (Professional)

954 MIDDLESEX TPKE
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 575-3945

DR. KATHLEEN CULBERTSON LAUNDY PSYD

Psychologist

954 MIDDLESEX TPKE, SUITE A-2
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 395-1893

MATTHEW J. HOFFMAN, LMFT, LLC

Marriage & Family Therapist

954 MIDDLESEX TPKE, SUITE A-2
OLD SAYBROOK, CT 06475

Lower Connecticut River Valley Planning Region (860) 235-4056

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 Shoreline Pediatric Neuropsychological Services, LLC's NPI number?

The NPI number for Shoreline Pediatric Neuropsychological Services, LLC is 1992999767. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Shoreline Pediatric Neuropsychological Services, LLC located?

Shoreline Pediatric Neuropsychological Services, LLC is located at 954 Middlesex Tpke Ste A2, Old Saybrook, CT 06475. The listed phone number is (860) 388-2000.

What is Shoreline Pediatric Neuropsychological Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shoreline Pediatric Neuropsychological Services, LLC was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.