Active NPI
Ryan Palmer Brimigion, PSY.D.
- Forensic Psychologist
- Boston, MA
National Provider Identifier
1629595475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 9955
- Practice address
- 85 E Newton St
Boston, MA 02118-2841 - Phone
- (617) 626-8716
- NPI assigned
- Aug 23, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 9955 | MA | Primary |
Addresses
Primary practice location
85 E Newton St
Boston, MA 02118-2841
Mailing address
189 N Common Rd
Westminster, MA 01473-1023
Phone (207) 441-4099
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9955 | MA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629595475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 N COMMON RD",
"city": "WESTMINSTER",
"state": "MA",
"postal_code": "014731023",
"telephone_number": "207-441-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 E NEWTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182841",
"telephone_number": "617-626-8716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMIGION",
"first_name": "RYAN",
"middle_name": "PALMER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "9955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
- Brighton Health Group, LLC (Presentation Rehabilitation and Skilled Care Center)
- Manfred Brigl, M.D.
- Marney Suzanne Brillinger, MS CGC
- Wunnie Brima, MD
- Stephen Brimer, MD
- Laurence H Brinckerhoff, M.D.
- F Richard Bringhurst, MD
- Sophia Brion-Meisels, LICSW
- Christina Briscoe Abath
- David M Briscoe, MB, CHB
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.