Cynthia Brody, MFT
Individual provider Active NPI Marriage & Family Therapist · Lexington, MA
NPI 1639375538 · NPPES record last updated Oct 3, 2014
Key facts
- NPI
- 1639375538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC31556 (CA)
- Practice address
- 582 Massachusetts Ave
Lexington, MA 02420-4022 - Phone
- (781) 538-5647
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 10, 2024 through Sep 10, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC31556 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC31556 | CA | Yes |
Addresses
Primary practice location
582 Massachusetts Ave
Lexington, MA 02420-4022
Mailing address
582 Massachusetts Ave
Lexington, MA 02420-4022
Phone (781) 538-5647
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1493 | Other | MA | MA MFT LICENSE |
Other providers in Lexington, MA
- Stephen Craig Brennan
- Brett Davis DMD, PC
- Brian J Zinsmeister
- Renee Micelle Briggs
- James Howard Brightman
- Stephanie Robin Brody
- Raquel Broehm
- Landon Bromley
- Ann L Broski
- Richard Brostoff
All providers in Lexington, MA · Marriage & Family Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.