DR. MICHAEL LEO BRINKMAN (NPI# 1881831493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881831493 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LEO BRINKMAN |
| Credential | PSY.D. |
| Practice Address |
115 Mill St South Belknap 3 Belmont MA 02478-1064 |
| Practice Telephone | 6178553930 |
| Practice Fax Number | 6178553246 |
| Mailing Telephone | 6178553930 |
| Mailing Fax Number | 6178553246 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2012-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 8976 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568609048 | Michael William Brinkman | Physical Therapist | 350 Posada Ln, Suite 103, Templeton, CA 93465-4059 | 2009-01-20 |
| Street Address |
115 MILL ST SOUTH BELKNAP 3 |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454652 | Jacqueline Anne Samson | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2005-06-01 |
| 1326647520 | Jacqueline Bullis | Psychologist | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-20 |
| 1578162707 | Caleb Zachary Demers | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-19 |
| 1083221428 | Noa Kupfer | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-29 |
| 1154936490 | Remy Sky Leutwyler | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-14 |
| 1699380295 | Denice Cronin | Psychologist | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-10 |
| 1033724851 | Amanda Sedgewick, Pllc | Clinic/Center | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-09 |
| 1013529015 | Miqveh Steinhart | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-20 |
| 1801407820 | Lindsay Amateis | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-13 |
| 1790395671 | Patrick Shanley | Social Worker | 115 Mill St, Mclean Hospital Mail Stop 106, Belmont, MA 02478 | 2020-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902932536 | Simon Tan | Clinical Neuropsychologist | 3415 Beresford Ave, Belmont, CA 94002-1301 | 2007-02-26 |
| 1063563427 | Lee C Reich | Clinical Neuropsychologist | 23 Oak St, Belmont, MA 02478-3006 | 2007-01-14 |
| 1407927569 | Lillian Brandon Dinklage | Clinical Neuropsychologist | 10 Ivy Rd, Belmont, MA 02478-3364 | 2006-11-12 |
| 1275586794 | Mithlesh N/a Garg | Clinical Neuropsychologist | 19 Larch Cir, Belmont, MA 02478-4612 | 2006-05-18 |
| 1184600215 | Ronald James Calvanio | Clinical Neuropsychologist | 89 Bay State Rd, Belmont, MA 02478-2240 | 2005-12-20 |
| 1922358969 | Kathryn Piscitelle | Clinical Neuropsychologist | 115 Mill St, Belmont, MA 02478-1064 | 2012-09-18 |
| 1467598961 | Steffen R. Fuller | Clinical Neuropsychologist | 68 Leonard St, Belmont, MA 02478-2522 | 2007-01-30 |
| 1558407064 | Fuller Consulting Services, LLC | Clinical Neuropsychologist | 68 Leonard St, Belmont, MA 02478-2522 | 2007-01-30 |
| 1679637037 | Julie Michelle Brody Magid | Clinical Neuropsychologist | 115 Mill St, Belmont, MA 02478-1064 | 2006-12-20 |
| 1205817723 | Jennifer White | Clinical Neuropsychologist | 115 Mill St, Mclean Hospital, Belmont, MA 02478-1041 | 2005-11-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.