Individual provider Active NPI

Matthew Vernon Bruffey, PSY.D.

  • Clinical Psychologist
  • Winchester, VA
National Provider Identifier
1629245501
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003905 Issued in VA
Practice address
134 W Piccadilly St
Winchester, VA 22601-3916
Phone
(540) 667-1389
Fax
(540) 667-1394
NPI assigned
May 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003905 VA Primary

Addresses

Primary practice location

134 W Piccadilly St
Winchester, VA 22601-3916

Mailing address

134 W Piccadilly St
Winchester, VA 22601-3916
Phone (540) 667-1389

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
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 6, 2012 through Aug 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810003905VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Resources PLC CurrentSince Apr 17, 2020 Accepting new patients
New Lifestyles, Inc Clinical Past Accepting new patients
Calo Young Adult Past Accepting new patients
Neuropsychological Associates of Winchester PLLC Clinical PastSince Apr 17, 2020 Accepting new patients

Locations

134 W Piccadilly St
Winchester, VA 22601
Phone (540) 662-3400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1629245501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W PICCADILLY ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013916",
            "telephone_number": "540-667-1389",
            "fax_number": "540-667-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W PICCADILLY ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013916",
            "telephone_number": "540-667-1389",
            "fax_number": "540-667-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUFFEY",
        "first_name": "MATTHEW",
        "middle_name": "VERNON",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-10",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.