Individual provider Active NPI

Christina Brumer

  • Counseling Psychologist
  • Boca Raton, FL
National Provider Identifier
1275123697
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY10737 Issued in FL
Practice address
7999 N Federal Hwy Ste 202
Boca Raton, FL 33487-1673
Phone
(561) 285-3503
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY10737 FL Primary

Addresses

Primary practice location

7999 N Federal Hwy Ste 202
Boca Raton, FL 33487-1673

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210419000251 FL Practitioner - Clinical Psychologist 9830507508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10737FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Florida Inc CurrentSince Jan 24, 2021 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Mar 1, 2021 Accepting new patients

Locations

2940 NE 207th St
Aventura, FL 33180
Phone (419) 247-2800

7999 N Federal Hwy
Ste 202
Boca Raton, FL 33487
Phone (561) 285-3503

6067 Hollywood Blvd
Ste 200
Hollywood, FL 33024

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1275123697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7999 N FEDERAL HWY STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871673",
            "telephone_number": "561-285-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMER",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY10737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.