DR. NICOLE BRUNDIGE – Psychologist, NPI 1023732195

DR. NICOLE BRUNDIGE is a healthcare provider. based in Quincy, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. The NPI Number for DR. NICOLE BRUNDIGE is 1023732195

Main info

Female
4 Years Of Experience
Name
DR. NICOLE BRUNDIGE
NPI
1023732195
Phone
(617) 479-4545
Address
234 COPELAND ST STE 320
Enumeration Date
3 October 2022
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089795557
Graduation Year
2022 (4 years ago)
PAC ID
3173970902
Group Practice PAC ID
9436142429
Professional Enrollment ID
I20231115002502
Address ID
MA027402133NE226XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for DR. NICOLE BRUNDIGE

  • 234 COPELAND ST STE 320

    QUINCY, MA 021694082

    Phone: (617) 479-4545

    Mailing address matches the actual address.

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: 2025-10-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231115002502IClinical PsychologistMATBD
I20251008000221IClinical PsychologistNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02169)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436142429View full group profile
NameSpecialtyState
Nurse PractitionerMD
Mental Health CounselorMA
Clinical Social WorkerFL
Nurse PractitionerMA
Clinical Social WorkerFL
Nurse PractitionerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is DR. NICOLE BRUNDIGE's NPI number?
DR. NICOLE BRUNDIGE's NPI is 1023732195 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. NICOLE BRUNDIGE?
For scheduling context, DR. NICOLE BRUNDIGE is shown as active in the registry.
What area of care is associated with DR. NICOLE BRUNDIGE?
DR. NICOLE BRUNDIGE's record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. NICOLE BRUNDIGE associated with Quincy?
Public fields place DR. NICOLE BRUNDIGE around Quincy, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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