Brandon Terrell-Robert Gholson, M,S,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

313 Congress St
Boston, MA 02210-1218

Phone

(617) 790-4908

NPI assigned

Sep 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Reunited

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
  • NPI 1124731476
  Medicare reassignment Authorized official
• Outreach Behavioral Health and Wellness Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
  • NPI 1174339857
  NPD Authorized official
• The Outreach Wellness Center LLC

  • Social Worker
  • Quincy, MA
  • NPI 1346009453
  NPD Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1639420011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CONGRESS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101218",
            "telephone_number": "617-790-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CONGRESS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101218",
            "telephone_number": "617-790-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "BRANDON",
        "middle_name": "TERRELL-ROBERT",
        "name_prefix": "Mr.",
        "credential": "M,S,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Burrows Ghitman
• Irene M Ghobrial, M.D.
• Yasaman Ghodsi
• Mobina Ghojoghnejad, MD
• Hadi Gholami, DDS
• Ghazzal Bassam Y Ghonaim
• Sara Ghoneim, MD
• Omar M Ghorab, RPH
• Paiman Peter Ghoroghchian, MD, PHD
• Radhika Ghosalkar

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.