Brian F Faherty, PSYD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6280 Issued in MA

Practice address

269 Union St
Lynn, MA 01901

Phone

(781) 581-3900

Fax

(781) 598-8137

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lynn Community Health, Inc.Group PAC ID 0042217507, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfaherty150059@direct.ochin.org

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.

• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  Medicare reassignment Care Compare group NPD
• Lynn Community Health, Inc.

  • Community/Retail Pharmacy
  • Lynn, MA
  • NPI 1477213031
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992819577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01903",
            "telephone_number": "781-596-2502",
            "fax_number": "781-596-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 UNION ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01901",
            "telephone_number": "781-581-3900",
            "fax_number": "781-598-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHERTY",
        "first_name": "BRIAN",
        "middle_name": "F",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everlasting Homecare
• Kerline Exantus
• Excel Dental of Lynn LLC
• Alexa Nicole Faber, FNP-BC
• Cristina Maria Fagundo, BA
• Courtney Fahlbeck, RN
• Faith United Corporation
• Gabriella Anna Falasca
• Christine M Fall, PT
• Family & Childrens Service of GR Lynn Inc

• Cognitive & Behavioral Psychologist in Lynn, MA
• Providers in Lynn, MA by specialty
• Cognitive & Behavioral Psychologist in Massachusetts

• 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.

Verify at the official NPI Registry.