Active NPIIndividual providerSole proprietor

Brad Spickard, PHD

Psychologist in Newton, Massachusetts

NPI Number1003166323
Practice location
49B Carleton St, Newton, MA 02458-1604
Fax
—
Last updated
August 13, 2014

Brad Spickard is a Psychologist based in Newton, MA. Brad Spickard practices in Newton, MA and has the professional credentials of PHD. The NPI Number for Brad Spickard is 1003166323 and holds a License No. 1263 (NH). The current practice location address for Brad Spickard is 49B Carleton St, Newton, MA 02458-1604 and can be reached out via phone at 617-207-4124.

Provider Profile Details

NPI Number
1003166323
Provider Name
Brad Spickard
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
49B Carleton St, Newton, MA 02458-1604
Phone Number
617-207-4124
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2012
Last Update Date
August 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
49B Carleton St
Newton, MA 02458-1604
City
Newton
Zip
02458-1604
Phone Number
617-207-4124
Newton, MA 02458Get directions →

Provider Business Mailing Address Details

Address
49B Carleton St
Newton, MA 02458-1604
City
Newton
State
MA
Zip
02458-1604
Phone Number
617-207-4124

License Information

License Number (1)
1263
License State (1)
NH
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
9891
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brad Spickard, PHD?

The NPI number of Brad Spickard, PHD is 1003166323. It was assigned on September 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Brad Spickard, PHD?

Brad Spickard, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NH under license number 1263.

Where does Brad Spickard, PHD practice?

The practice location is 49B Carleton St, Newton, MA 02458-1604. The office can be reached at 617-207-4124 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003166323 directly on the NPPES registry website.

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