Stephen Brevik

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10834 Issued in MA

Practice address

44 Bearfoot Rd Ste 300
Northborough, MA 01532

Phone

(508) 922-0184

NPI assigned

May 27, 2014

Last updated

Jan 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Massachusetts Psychological Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Amherst, MA
  • NPI 1033990585
  Medicare reassignment NPD Authorized official
• K.C. Psychotherapy

  dba K.C. Psychotherapy PLLC

  • Mental Health Counselor
  • Malden, MA
  • NPI 1518852425
  NPD

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1982016937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BEARFOOT RD STE 300",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321559",
            "telephone_number": "781-474-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BEARFOOT RD STE 300",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "01532",
            "telephone_number": "508-922-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVIK",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10834",
            "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": []
}

• Emily Lynn Bowman, CCC-SLP
• Anne Boyden, LICSW
• Bracken Hill Therapeutic Farm LLC
• Lindsay Brady, LICSW
• Jessica Lou Bready, CPM, IBCLC, CD
• Briella Trusted Homecare LLC
• Katie Britt, LMHC, M.S.
• Jennifer Brown, RN
• Carrie Ann Buda, LICSW
• Alexandre Earl Burroughs, M.S. ED

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.