Glastonbury Pediatric Neuropsychology
NPI 1043007792ActiveOrganization· Psychologist, Clinical· Glastonbury, CT
Psychologist, Clinical in Glastonbury, Connecticut, registered in NPPES in April 2025. The authorized official on file is Krista Mraz, PH.D., Clinical Psychologist.
Overview
| NPI | 1043007792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2025 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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