Active NPI
Jane Elizabeth Brodie, PH.D.
- Mental Health Counselor
- Roxbury Crossing, MA
National Provider Identifier
1588799324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6355
- Practice address
- 1125 Tremont St
Roxbury Crossing, MA 02120-2178 - Phone
- (617) 989-3077
- Fax
- (617) 989-3006
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6355 | MA | Primary |
Addresses
Primary practice location
1125 Tremont St
Roxbury Crossing, MA 02120-2178
Mailing address
54 Watson Rd
Belmont, MA 02478-3927
Phone (617) 989-3077
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6355 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588799324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 WATSON RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783927",
"telephone_number": "617-989-3077",
"fax_number": "617-989-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TREMONT ST",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202178",
"telephone_number": "617-989-3077",
"fax_number": "617-989-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODIE",
"first_name": "JANE",
"middle_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury Crossing, 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.