Linda S Brevitz, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

50384 Issued in MN

Practice address

640 Jackson St
HP Regions Behavioral Health
Saint Paul, MN 55101-2502

Phone

(651) 254-4786

Fax

(651) 254-9426

NPI assigned

Aug 31, 2006

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Ionia County Community Mental Health

  • Public Health or Welfare Agency
  • Ionia, MI
  • NPI 1760452122
  NPD (past)
• Shift Chiropractic, PLC

  dba Shift Chiropractic

  • Chiropractor
  • Traverse City, MI
  • NPI 1770087199
  NPD (past)
• Well-Spring Psychiatry, P.C.

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1922112077
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1790897288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "800-968-6866",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "address_2": "HP REGIONS BEHAVIORAL HEALTH",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-4786",
            "fax_number": "651-254-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVITZ",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101013252",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "50384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4924716",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LB013252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Bresina
• Eric L Bressler, M.D.
• Lauren Jan Brettingen, B.S., MPAS
• Carl A Bretzke, MD
• Margit Lynn Bretzke, M.D.
• Quneshia Brewer, LGSW
• Elaine Brey, CRNA
• Brian Post Counseling, LLC
• Katherine E Brick, M.D.
• Bridge Transit Care LLC

• Psychiatry Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.