Active NPI
Julie Gale Breskin, PHD
- Psychologist
- Salem, MA
National Provider Identifier
1043360357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4301
- Practice address
- 2 Salt Wall LN
Salem, MA 01970-2639 - Phone
- (978) 744-4114
- Fax
- (978) 744-4164
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4301 | MA | |
| Psychologist | 103T00000X | 4301 | MA | Primary |
Addresses
Primary practice location
2 Salt Wall LN
Salem, MA 01970-2639
Mailing address
2 Salt Wall LN
Salem, MA 01970
Phone (978) 744-4114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1043360357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SALT WALL LN",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-744-4114",
"fax_number": "978-744-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SALT WALL LN",
"city": "SALEM",
"state": "MA",
"postal_code": "019702639",
"telephone_number": "978-744-4114",
"fax_number": "978-744-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESKIN",
"first_name": "JULIE",
"middle_name": "GALE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4301",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.