James P Bresnahan Jr., LMFT LMHC LADAC1 CAD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4524 Issued in MA

Practice address

105 Merrick St
US
Worcester, MA 01609

Phone

(508) 797-6100

Fax

(508) 797-0693

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Marriage and Family Therapist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• James P. Bresnahan, P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
  • NPI 1023289782
  Medicare reassignment NPD Authorized official
• Spectrum Health Systems Inc

  • Multi-Specialty Clinic/Center
  • Worcester, MA
  • NPI 1376827188
  NPD (past)
• Spectrum Health Systems, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
  • NPI 1487608485
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215031802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-854-3320",
            "fax_number": "508-753-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MERRICK ST",
            "address_2": "US",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-797-6100",
            "fax_number": "508-797-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNAHAN",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT LMHC LADAC1 CAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "4524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306421",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD MH BCBS MH M18684",
            "identifier": "1308785",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SA",
            "identifier": "2220002001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Brenner, MD
• Maxine S Brenner, RN LMHC
• Alexis K Brenya, MD
• Joyce Brescia
• Jamee Bresee, PA-C
• Timothy J Bresnahan, MD
• Norman M. Bress, M.D.
• Christina Breton, LMHC
• Kimberly Bretta, FNP-BC
• Doreen B Brettler, M.D.

• Addiction (Substance Use Disorder) Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.