Individual provider Active NPI

Bradley Roger Brummett, PH.D.

  • Clinical Neuropsychologist
  • Mount Kisco, NY
National Provider Identifier
1093954133
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
025751 Issued in NY
Practice address
344 E Main St Ste 202
Mount Kisco, NY 10549-3036
Phone
(413) 270-2003
Fax
(413) 585-9902
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 025751 NY Primary

Addresses

Primary practice location

344 E Main St Ste 202
Mount Kisco, NY 10549-3036

Mailing address

344 E Main St Ste 202
Mount Kisco, NY 10549-3036
Phone (413) 270-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318001536 NY Practitioner - Clinical Psychologist 3577734300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Center for Cognitive Assessment LLCGroup PAC ID 5890016273, 6 clinicians

Practice addresses (Care Compare)

344 E Main St
Suite 202
Mount Kisco, NY 10549-3036
Phone (914) 355-8904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Center for Cognitive Assessment LLC Clinical Neuropsychologist CurrentSince Mar 6, 2024 Accepting new patients
Northampton Neuropsychological Associates, LLP Clinical Neuropsychologist PastSince Sep 1, 2004 Accepting new patients
Rise Communication Clinic PLLC PastSince Jul 23, 2023 Accepting new patients
Changing Minds PastSince Jun 30, 2016 Accepting new patients

Locations

344 E Main St
Ste 202
Mount Kisco, NY 10549
Phone (914) 355-8904

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1093954133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST STE 202",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493036",
            "telephone_number": "413-270-2003",
            "fax_number": "413-585-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST STE 202",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493036",
            "telephone_number": "413-270-2003",
            "fax_number": "413-585-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMETT",
        "first_name": "BRADLEY",
        "middle_name": "ROGER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "025751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.