Brain Care Specialists PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

76759 Issued in MA

Legal business name

BRAIN CARE SPECIALISTS PC

Practice address

92 High St
4TH Floor
Medford, MA 02155

Phone

(617) 460-3611

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Mooring Aldridge, M.D.NPI 1396712659

Title

President and Ceo

Phone

(617) 460-3611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew M Aldridge, MD

  • Psychiatry Physician
  • Medford, MA
  • NPI 1396712659
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1972939890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ASHLAND ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553238",
            "telephone_number": "617-460-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "address_2": "4TH FLOOR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "617-460-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN CARE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MOORING",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-460-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "76759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Bracken, MS, LAT, ATC
• Shea Braden
• Patricia M. Brady-Ciarcia, M.S.
• Ann Brady, P.T.
• Kenneth J Brady, LADC I,CADAC II
• Brain, Spine and Pain Institute of Massachusetts PLLC
• Stephanie Anne Branca, LICSW
• Bre Marie Wellness LLC
• Cindy Bridger, PSY.D.
• Brightenhealthgroup

• Psychiatry Physician in Medford, MA
• Providers in Medford, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.