Individual provider Active NPI

Todd Brede, PSY.D

  • Specialist
  • Litchfield, NH
National Provider Identifier
1841232220
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA7293 Issued in MA
Practice address
144 Pinecrest Rd
Litchfield, NH 03052-2325
Phone
(603) 382-5400
Fax
(603) 382-4283
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NH858 NH
Specialist 174400000X MA7293 MA Primary

Addresses

Primary practice location

144 Pinecrest Rd
Litchfield, NH 03052-2325

Mailing address

PO Box 882
Plaistow, NH 03865-0882
Phone (603) 382-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031118000360 MA Practitioner - Clinical Psychologist 5092629683 Reassigns benefits to 1 organization
I20110512000109 NH Practitioner - Clinical Psychologist 5092629683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Ward Hill Ave
Bradford, MA 01835-6928
Phone (978) 372-8000

24 Veterans Rd
Amherst, NH 03031-2701
Phone (603) 345-9220

401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
858NHMDMental Health Counselor
MA7293MAMDSpecialist
NH858NHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffry Potash MD PC Current Accepting new patients
Psychological Resource Consultants Specialist CurrentSince Jun 1, 1999 Accepting new patients

Locations

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 258-4734

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1841232220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038650882",
            "telephone_number": "603-382-5400",
            "fax_number": "603-382-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PINECREST RD",
            "city": "LITCHFIELD",
            "state": "NH",
            "postal_code": "030522325",
            "telephone_number": "603-382-5400",
            "fax_number": "603-382-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDE",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "NH858",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "MA7293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, NH

Sources for this page

Verify at the official NPI Registry.