Individual provider Active NPI

Brian K. Dessureau, PH.D.

  • Clinical Neuropsychologist
  • Westborough, MA
National Provider Identifier
1932190279
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
8006 Issued in MA
Practice address
33 Lyman St Ste 400
Westborough, MA 01581-1434
Phone
(508) 898-0055
Fax
(508) 898-0035
NPI assigned
Nov 4, 2005
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 8006 MA Primary
Clinical Psychologist 103TC0700X 8006 MA

Addresses

Primary practice location

33 Lyman St Ste 400
Westborough, MA 01581-1434

Mailing address

33 Lyman St Ste 400
Westborough, MA 01581-1434

Other identifiers 1

IdentifierTypeStateIssuer
110022356AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bdessureau22529@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080326000652 MA Practitioner - Clinical Psychologist 5092891325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Neuroscience Services LLCGroup PAC ID 1658688031, 23 clinicians

Practice addresses (Care Compare)

33 Lyman St
Suite 400
Westborough, MA 01581-1434
Phone (508) 898-0055

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8006MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Neuroscience Services, LLC CurrentSince Jul 1, 2021 Accepting new patients
Tak Medical Group, P.C. Past Accepting new patients

Locations

14 Monument Sq
Ste 401
Leominster, MA 01453
Phone (978) 728-4455

33 Lyman St
Ste 400
Westborough, MA 01581
Phone (508) 898-0055

Interoperability endpoints

  • Direct secure messaging: bdessureau22529@umassmemorial.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCCDA

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1932190279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LYMAN ST STE 400",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LYMAN ST STE 400",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811434",
            "telephone_number": "508-898-0055",
            "fax_number": "508-898-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSUREAU",
        "first_name": "BRIAN",
        "middle_name": "K.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "8006",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110022356A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdessureau22529@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "100 Century Dr",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016061244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "100 Century Dr",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016061244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.