Active NPI
Stephanie Robin Brody, PSY.D.
- Clinical Psychologist
- Lexington, MA
National Provider Identifier
1376528075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3998
- Practice address
- 9 Meriam St
Suite #22
Lexington, MA 02420-5300 - Phone
- (781) 861-9813
- Fax
- (781) 861-3274
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3998 | MA | Primary |
Addresses
Primary practice location
9 Meriam St
Suite #22
Lexington, MA 02420-5300
Mailing address
9 Meriam St
Suite #22
Lexington, MA 02420-5300
Phone (781) 861-9813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1376528075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MERIAM ST",
"address_2": "SUITE #22",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024205300",
"telephone_number": "781-861-9813",
"fax_number": "781-861-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MERIAM ST",
"address_2": "SUITE #22",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024205300",
"telephone_number": "781-861-9813",
"fax_number": "781-861-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "STEPHANIE",
"middle_name": "ROBIN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.