Jeffery Brand, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10558 Issued in MA

Practice address

41 Garrison Rd
Brookline, MA 02445-4445

Phone

(617) 277-8107

NPI assigned

May 6, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brookline Community Mental Health Center IncGroup PAC ID 9032181433, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brookline Community Mental Health Center Inc.

  • Community/Behavioral Health Agency
  • Brookline, MA
  • NPI 1881610244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1881004331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLEARY WAY APT 84",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303759",
            "telephone_number": "971-227-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-277-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10558",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Bozzetti, MSN, FNP-BC
• Lauren Anne Bozzuto, M.A., SLP
• Brach Evaluation and Consulting, LLC
• Theodore Bradford, LICSW
• Megan Bradshaw, MS
• Brandon Bergman, PHD, LLC
• Brandon Eash, DMD, PLLC
• Nadia Therese Brandon, LICSW, LPN
• Darcy Lauren Brandt, LICSW
• Laurie M Brandt, PSY.D.

• Clinical Psychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.