Active NPIIndividual providerSole proprietor

David Bricklin-Small

Psychologist, Clinical in Boston, Massachusetts

NPI Number1184027401
Practice location
147 Milk Street, Boston, MA 02109-3200
Fax
716-461-7654
Last updated
November 27, 2018

David Bricklin-Small is a Psychologist, Clinical based in Boston, MA. David Bricklin-Small practices in Boston, MA. The NPI Number for David Bricklin-Small is 1184027401 and holds a License No. 10819 (MA). The current practice location address for David Bricklin-Small is 147 Milk Street, Boston, MA 02109-3200 and can be reached out via phone at 617-654-7300 and via fax at 716-461-7654.

Provider Profile Details

NPI Number
1184027401
Provider Name
David Bricklin-Small
Provider Entity Type
Individual
Gender
Male
Address
147 Milk Street, Boston, MA 02109-3200
Phone Number
617-654-7300
Fax Number
716-461-7654
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- David Marc Small (Former Name)
Provider Enumeration Date
October 1, 2014
Last Update Date
November 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 Milk Street
Boston, MA 02109-3200
City
Boston
Zip
02109-3200
Phone Number
617-654-7300
Fax Number
716-461-7654
Boston, MA 02109Get directions →

Provider Business Mailing Address Details

Address
340 Maple St
Marlborough, MA 01752-3200
City
Marlborough
State
MA
Zip
01752-3200
Phone Number
541-521-2742

License Information

License Number
10819
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

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 David Bricklin-Small?

The NPI number of David Bricklin-Small is 1184027401. It was assigned on October 1, 2014 and is currently active in the NPPES registry.

What is the specialty of David Bricklin-Small?

David Bricklin-Small is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10819.

Where does David Bricklin-Small practice?

The practice location is 147 Milk Street, Boston, MA 02109-3200. The office can be reached at 617-654-7300 (phone) or 716-461-7654 (fax).

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 1184027401 directly on the NPPES registry website.

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