Jane M Brodwyn, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8406 Issued in MA

Practice address

10 Main St
Florence, MA 01062-3158

Phone

(413) 586-8550

Fax

(413) 586-9765

NPI assigned

Sep 23, 2006

Sex

Female

Sole proprietor

No

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

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.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639279367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623158",
            "telephone_number": "413-586-8550",
            "fax_number": "413-586-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623158",
            "telephone_number": "413-586-8550",
            "fax_number": "413-586-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODWYN",
        "first_name": "JANE",
        "middle_name": "M",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Graybill Bliss, RN
• Yotam Block, PA-C
• Kyle Edward Botti
• Brendan Robert Boucher, DPT, PT, CSCS
• Shoshanna D Brady, LCSW
• Ashley Brown, MD
• Emil Barrett Brown
• Jennifer Brown
• Marisa Anne Brown, MSW, LICSW
• Shakara Brown

• All providers in Florence, MA
• Clinical Psychologist in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.