RICHARD LYNN BREWER (PSY.D.) – Psychologist, NPI 1962472670

RICHARD LYNN BREWER (PSY.D.) is a healthcare provider. based in Pierce city, Missouri. specializing in PSYCHIATRY. They hold the professional credentials PSY.D.. They hold a License No. 01577 (MO). The NPI Number for RICHARD LYNN BREWER (PSY.D.) is 1962472670

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD LYNN BREWER (PSY.D.)
NPI
1962472670
Phone
(417) 476-1013
Address
PO BOX 100
Enumeration Date
25 January 2006
Last Update Date
17 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4172356610
Graduation Year
1991 (35 years ago)
PAC ID
1052445293
Group Practice PAC ID
8527069277
Professional Enrollment ID
I20150928001740
Address ID
MO657081144MO1701XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

821 PSYCHIATRY in MO

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Provider Addresses for RICHARD LYNN BREWER (PSY.D.)

  • Pierce City, Lawrence County, Missouri, United States

    PIERCE CITY, MO 657232100

    Phone: (417) 476-1013

    Fax: (417) 476-1082

    Type: Mailing

  • 315, South Main Avenue, Bolivar, Polk County, Missouri, 65613, United States

    BOLIVAR, MO 656132052

    Phone: (417) 326-2902

    Fax: (417) 326-4555

    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: 2015-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20150928001740IPsychiatryMOTBD

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 65723)

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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: 8527069277View full group profile
NameSpecialtyState
Mental Health CounselorMO
Clinical PsychologistMO
Mental Health CounselorMO
P S Y C H I A T R YKS
P S Y C H I A T R YMO
-MO
Mental Health CounselorMO
Clinical PsychologistMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

Is RICHARD LYNN BREWER (PSY.D.) listed with a National Provider Identifier?
Yes — RICHARD LYNN BREWER (PSY.D.) has NPI 1962472670 on file in the registry.
Would RICHARD LYNN BREWER (PSY.D.) appear as active to a payer?
You can treat RICHARD LYNN BREWER (PSY.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to RICHARD LYNN BREWER (PSY.D.)?
RICHARD LYNN BREWER (PSY.D.)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is RICHARD LYNN BREWER (PSY.D.) located near Pierce City?
RICHARD LYNN BREWER (PSY.D.) currently maps to Pierce City, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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