| Neuropsychology and Concussion Management Associates LLC | |
|
220 Union St Rockport ME 04856-6104 | |
| (207) 594-2952 | |
| (888) 714-5185 |
| Full Name | Neuropsychology and Concussion Management Associates LLC |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 220 Union St, Rockport, Maine |
| Authorized Official Name and Position | Kendra L Bryant (SOLE MEMBER) |
| Authorized Official Contact | 2075942952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology and Concussion Management Associates LLC Po Box 1084 Rockland ME 04841-1084 Ph: (207) 594-2952 | Neuropsychology and Concussion Management Associates LLC 220 Union St Rockport ME 04856-6104 Ph: (207) 594-2952 |
| NPI Number | 1881947745 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Medicare PECOS PAC ID | 0345493383 |
|---|---|
| Medicare Enrollment ID | O20121227000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881947745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PS1009 (Maine) | Primary |
| Provider Name | Brittany Angela Bomil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578017208 PECOS PAC ID: 5193232767 Enrollment ID: I20250729000788 |
| Provider Name | Michael Broggi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740142595 PECOS PAC ID: 6406337880 Enrollment ID: I20260325002046 |
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