Bruce L Mermelstein, ED.D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

3460 Issued in MA

Practice address

21 Walnut PL
Newton, MA 02461-1716

Phone

(617) 527-4610

Fax

(617) 527-6829

NPI assigned

Jun 8, 2006

Last updated

Nov 28, 2017By the provider in NPPES

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

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

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Boston Counseling Associates ,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookline, MA
  • NPI 1750895124
  Medicare reassignment NPD
• Charles River Counseling

  • Specialist
  • Newton, MA
  • NPI 1568504652
  Authorized official Same address or phone
• Comprehensive Outpatient Services Inc.

  • Mental Health Counselor
  • Chelmsford, MA
  • NPI 1770541948
  Authorized official Same address or phone
• Comprehensive Outpatient Services, Inc

  dba Riverfront Counseling Center

  • Community/Behavioral Health Agency
  • Fitchburg, MA
  • NPI 1083742365
  NPD (past) Authorized official
• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Counseling

  NPD (past)
• Comprehensive Heatlh Services, LLC

  dba Stoneybrook Counseling Center

  • Community/Behavioral Health Agency
  • Chelmsford, MA
  • NPI 1659400802
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1285674184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WALNUT PL",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611716",
            "telephone_number": "617-969-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WALNUT PL",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611716",
            "telephone_number": "617-527-4610",
            "fax_number": "617-527-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "BRUCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brian Mendel, MD
• Karissa Mae Mendes
• Juliana Tobon Mendonca
• Therese Marie Villafria Mercado
• Brian S Mercer, M.D.
• Lara Ann Merullo, MOT
• Frances Vera Mervyn, PHD
• Gracendy Mesamours
• Gabriella Emma Messina
• Matthew Messina, D.O.

• Counseling Psychologist in Newton, MA
• Providers in Newton, MA by specialty
• Counseling Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.