Active NPI
David Brinton Doolittle, PSYD
- Psychologist
- Brookline, MA
National Provider Identifier
1982687380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3938
- Practice address
- 1330 Beacon St
Ste 256
Brookline, MA 02446-3282 - Phone
- (617) 734-7348
- NPI assigned
- Nov 21, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3938 | MA | Primary |
Addresses
Primary practice location
1330 Beacon St
Ste 256
Brookline, MA 02446-3282
Mailing address
1330 Beacon St
Suite 256
Brookline, MA 02446-3282
Phone (617) 734-7348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111116000229 | MA | Practitioner - Clinical Psychologist | 1153595715 | Practice locations: Watertown, MA |
| I20240911001339 | NM | Practitioner - Psychologist Billing Independently | 1153595715 | Practice locations: Albuquerque, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
726 -24 Tramway LN NE
Albuquerque, NM 87122-1673
Phone (781) 290-9872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982687380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BEACON ST",
"address_2": "SUITE 256",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463282",
"telephone_number": "617-734-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BEACON ST",
"address_2": "STE 256",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463282",
"telephone_number": "617-734-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLITTLE",
"first_name": "DAVID",
"middle_name": "BRINTON",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.