DR. KRISTIN BRADACH (PH.D.) – Clinical Psychologist, NPI 1841266947
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,694 CLINICAL PSYCHOLOGIST in MA
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Provider Addresses for DR. KRISTIN BRADACH (PH.D.)
2362;2364;2366;2370, Washington Street, Newton Lower Falls, Newton, Middlesex County, Massachusetts, 02462, United States
NEWTON, MA 024621440
Phone: (617) 332-2047
Fax: (617) 332-7341
Type: Mailing
Visitor Parking, 2000, Washington Street, Newton Lower Falls, Newton, Middlesex County, Massachusetts, 02462, United States
STE. 402
NEWTON, MA 024621650
Phone: (617) 527-0239
Type: Location
475 LOMBARD ST
APT 6
SAN FRANCISCO, CA 941332464
Phone: (781) 492-0492
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.
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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: 2021-01-20
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 |
|---|---|---|---|---|
| I20120618000140 | I | Clinical Psychologist | MA | TBD |
| I20210120001558 | I | Clinical Psychologist | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | MA | |
| Clinical Psychologist | MA | |
| P S Y C H I A T R Y | MA | |
| - | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA |
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