Active NPI
Seth Michael Bricklin, PSY.D.
- Clinical Psychologist
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18831
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SET3615 | Other | CA | LA COUNTY DMH PROVIDER # |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Bariatrics, LLC | Current | Accepting new patients | |
| Bricklin Psychological Services, Inc. | Clinical | Current | Accepting new patients |
| Providence Health & Services- Washington | Current | 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.
-
- Surgery Physician
- Anchorage, AK
- NPI 1174076822
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
-
- Clinical Psychologist
- West Hills, CA
- NPI 1306990403
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
- Amber Brenton, ACSW
- Marc S. Bresler, MD
- Daniel James Bretado
- Jessica Anne Breton, MFT
- Kyle Brewer, O.D.
- Bridges Community Treatment Services Inc (BRIDGES, Inc.)
- Bright Future Home Health, Inc. (Los Angeles Home Health Care Group)
- Jazmine Alexis Bright
- Brightstar ABA, Inc
- Brightstar Home Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.