Susan M Brefach, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4530 Issued in MA

Practice address

4 Militia Dr
Suite 23
Lexington, MA 02421-4737

Phone

(781) 860-7211

NPI assigned

Mar 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346200193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024200003",
            "telephone_number": "781-860-7211",
            "fax_number": "617-249-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MILITIA DR",
            "address_2": "SUITE 23",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214737",
            "telephone_number": "781-860-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREFACH",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Beth Braga, N.D.
• Shaunna Braid
• Anthony D Bram, PHD
• Linda Helmig Bram, PHD
• Camila Branstner
• Natalie Brelsford, OT, OTD, OTR
• Michelle Sue Brenhiser
• Stephen Craig Brennan, MA.LMHC
• Brett Davis DMD, PC
• Brian J Zinsmeister

• Clinical Psychologist in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.