Active NPI
Melissa Palmer Brand, PSYD
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1508977703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7849
- Practice address
- 1675 Massachusetts Ave
Suite 1B
Cambridge, MA 02138-1872 - Phone
- (617) 547-9777
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 7849 | MA | Primary |
Addresses
Primary practice location
1675 Massachusetts Ave
Suite 1B
Cambridge, MA 02138-1872
Mailing address
1675 Massachusetts Ave
Suite 1B
Cambridge, MA 02138-1872
Phone (617) 547-9777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452973 | Other | TUFTS | |
| W06035 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7849 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508977703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 MASSACHUSETTS AVE",
"address_2": "SUITE 1B",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381872",
"telephone_number": "617-547-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 MASSACHUSETTS AVE",
"address_2": "SUITE 1B",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381872",
"telephone_number": "617-547-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAND",
"first_name": "MELISSA",
"middle_name": "PALMER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "452973",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W06035",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- 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.