LAUREL B BRUNDAGE (PSY.D.) – Psychologist, NPI 1558359307
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
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Provider Addresses for LAUREL B BRUNDAGE (PSY.D.)
Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States
EVANSVILLE, IN 477313276
Phone: (812) 473-0181
Fax: (812) 473-5822
Type: Mailing
East Indiana Street, Evansville, Vanderburgh County, Indiana, 47711, United States
EVANSVILLE, IN 477152794
Phone: (812) 401-8008
Fax: (812) 401-8201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150702000280 | I | Clinical Psychologist | MO | TBD |
| I20260304003551 | I | Clinical Psychologist | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 452 | 53 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 20 | 20 | $0 |
Insurance plans in this area (ZIP 47731)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | CA | |
| Clinical Psychologist | MD | |
| Clinical Social Worker | MD | |
| Clinical Psychologist | CO | |
| Mental Health Counselor | MD | |
| Clinical Psychologist | NY | |
| Clinical Psychologist | TN | |
| Clinical Psychologist | NC | |
| Clinical Psychologist | TX | |
| Clinical Social Worker | MD |
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