Individual provider Active NPI

Seth Michael Bricklin, PSY.D.

  • Clinical Psychologist
  • Woodland Hills, CA
National Provider Identifier
1992859003
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18831 Issued in CA
Practice address
22020 Clarendon St
#208
Woodland Hills, CA 91367-6335
Phone
(818) 332-2287
Fax
(818) 206-1080
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY18831 CA Primary

Addresses

Primary practice location

22020 Clarendon St
#208
Woodland Hills, CA 91367-6335

Mailing address

22020 Clarendon St
#208
Woodland Hills, CA 91367-6335
Phone (818) 332-2287

Other identifiers 1

IdentifierTypeStateIssuer
SET3615OtherCALA COUNTY DMH PROVIDER #

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbricklin1989763@ak.providencedirect.org
Direct Messaging Address sbricklin1989763@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20210712001851 AK Practitioner - Clinical Psychologist 2466491535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchorage Bariatrics, LLCGroup PAC ID 0042505018, 20 clinicians

Practice addresses (Care Compare)

3909 Arctic Blvd
Suite 101
Anchorage, AK 99503-5769
Phone (907) 770-2380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Bariatrics, LLC CurrentSince Nov 11, 2023 Accepting new patients
Bricklin Psychological Services, Inc. Clinical CurrentSince Aug 3, 2005 Accepting new patients
Providence Health & Services- Washington CurrentSince Sep 1, 2021 Accepting new patients

Locations

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

3909 Arctic Blvd
Ste 101
Anchorage, AK 99503
Phone (907) 272-1275

3300 Providence Dr
Ste B314
Anchorage, AK 99508
Phone (907) 212-3420

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

22020 Clarendon St
Ste 208
Woodland Hills, CA 91367
Phone (818) 332-2287

Organizations & group practices 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1992859003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22020 CLARENDON ST",
            "address_2": "#208",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676335",
            "telephone_number": "818-332-2287",
            "fax_number": "818-206-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22020 CLARENDON ST",
            "address_2": "#208",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676335",
            "telephone_number": "818-332-2287",
            "fax_number": "818-206-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLIN",
        "first_name": "SETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA COUNTY DMH PROVIDER #",
            "identifier": "SET3615",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbricklin1989763@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3300 Providence Dr Ste B314",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbricklin1989763@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3200 Providence Dr",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.