NPI 1114089604 · live from the CMS NPI Registry
James Andrew Brcak, Psy.D.
Psychologist, Clinical in Riverside, RI. National Provider Identifier 1114089604, active.
NPI record
| NPI | 1114089604 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 |
| Practice phone | 401-432-1000 |
| Enumerated | December 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PS00969 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.