Active NPI
Brenda Gayle Martin-Tousignant, PSY.D.
- Psychologist
- Boston, MA
National Provider Identifier
1760818744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11589
- Practice address
- 112 Water St
Boston, MA 02109-4206 - Phone
- (617) 315-8856
- NPI assigned
- Sep 23, 2013
- Last updated
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3843 | CT | |
| Psychologist | 103T00000X | 11589 | MA | Primary |
Addresses
Primary practice location
112 Water St
Boston, MA 02109-4206
Mailing address
189 Birch Bluffs Dr
Westfield, MA 01085-4808
Phone (413) 977-2379
Other practice location 1
105 Spring St
Hartford, CT 06105-2112
Phone (860) 236-4511 ext. 3412
Other names 1
- Ms. Brenda Gayle Martin
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 |
|---|---|---|---|
| 3843 | CT | MD | Psychologist |
| 11589 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1760818744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 BIRCH BLUFFS DR",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010854808",
"telephone_number": "413-977-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 WATER ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094206",
"telephone_number": "617-315-8856"
}
],
"practiceLocations": [
{
"address_1": "105 Spring St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061052112",
"country_code": "US",
"telephone_number": "860-236-4511 x3412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN-TOUSIGNANT",
"first_name": "BRENDA",
"middle_name": "GAYLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3843",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "11589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "MARTIN",
"middle_name": "GAYLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.