Jennifer T Brotsky, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1435 Issued in ME

Practice address

18 Belvedere Rd
Ste 302
Damariscotta, ME 04543-4645

Phone

(207) 449-3995

NPI assigned

Dec 19, 2014

Last updated

Dec 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1801294079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WESTERN AVE",
            "address_2": "SUITE 3 #278",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306338",
            "telephone_number": "207-449-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BELVEDERE RD",
            "address_2": "STE 302",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434645",
            "telephone_number": "207-449-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTSKY",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Charles Bloomquist, CRNA
• Ann Chamberlin Boe, RD
• Michelle M Bouchard, OD
• Bremen
• Bristol
• Linda E. Brouwer, FNP
• Magdalena Brozyna-Burns, LCSW
• Jennifer H Bryce, SLP
• Timothy John Bryce, MSPT
• Bridget G. Buck, CNM

• Psychologist in Damariscotta, ME
• Providers in Damariscotta, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.