Active NPI
Alexandria Brunkow, PH.D
- Health Psychologist
- Hanover, NH
National Provider Identifier
1821979329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PS02375
- Practice address
- 45 Lyme Rd Ste 300
Hanover, NH 03755-1223 - Phone
- (603) 755-6535
- Fax
- (603) 389-9331
- NPI assigned
- Sep 10, 2025
- 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 |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 7125 | NH | |
| Health Psychologist | 103TH0004X | PS02375 | RI | Primary |
Addresses
Primary practice location
45 Lyme Rd Ste 300
Hanover, NH 03755-1223
Mailing address
45 Lyme Rd Ste 300
Hanover, NH 03755-1223
Phone (603) 755-6535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 10, 2025 through Sep 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7125 | NH | MD | Health Psychologist |
| PS02375 | RI | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1821979329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 LYME RD STE 300",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551223",
"telephone_number": "603-755-6535",
"fax_number": "603-389-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 LYME RD STE 300",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551223",
"telephone_number": "603-755-6535",
"fax_number": "603-389-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNKOW",
"first_name": "ALEXANDRIA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-10",
"last_updated": "2025-10-24",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "NH",
"license": "7125",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "RI",
"license": "PS02375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.