Marina Breydo, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

540 VFW Pkwy
West Roxbury, MA 02132-1332

Phone

(617) 325-2993

Fax

(617) 325-2994

NPI assigned

Jun 12, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 10, 2025 through Jun 10, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Services Institute, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1255450631
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1093036170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321332",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321332",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREYDO",
        "first_name": "MARINA",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elizabeth Braganca, MD
• Parbati Basu Brahma, M.D.
• Jennifer Brandel, LICSW
• Kylie Breadmore, PTA
• William Patrick Brennan Jr., PHARMD
• Barbara Jean Brintnall, PTA
• Silvia M Brito, MSW
• Michael James Brockman, DO
• Brooklyn Darlene Brown-Northrup, M.S.W.
• Barkari Tarik Brown

• Mental Health Counselor in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.