DR. NICOLE BRUNDIGE
NPI 1023732195
Psychologist in Quincy, MA

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment
234 COPELAND ST STE 320, QUINCY, MA 02169(617) 479-4545 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicole Brundige NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE BRUNDIGE (NPI 1023732195) is an individual psychologist in Quincy, Massachusetts and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023732195
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NICOLE BRUNDIGE
Location Address234 COPELAND ST STE 320Quincy, MA 02169-4082
Mailing Address234 Copeland St Ste 320Quincy, MA 02169-4082 · (617) 479-4545
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 1, 2022
✔ NPI 1023732195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
234 COPELAND ST STE 320, Quincy, MA 02169

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Brundige is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173970902
PECOS Enrollment IDI20251008000221
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Brundige reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
226 FIELD ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 196 clinicians in this Medicare group
Family Medicine
100 PARK ST
Glens Falls, NY 12801
  • Reassigned Medicare billing, New York enrollment
  • 201 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
234 COPELAND ST STE 320
QUINCY, MA 02169
Social Worker (Clinical)
234 COPELAND ST STE 320
QUINCY, MA 02169
Social Worker
234 COPELAND ST STE 320
QUINCY, MA 02169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Brundige's NPI number?

The NPI number for Nicole Brundige is 1023732195. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Nicole Brundige located?

Nicole Brundige practices at 234 Copeland St Ste 320, Quincy, MA 02169. The listed phone number is (617) 479-4545.

What is Nicole Brundige's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nicole Brundige enrolled in Medicare?

Yes. Nicole Brundige is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Brundige's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Brundige reassigns Medicare benefits to 2 organizations: Boston Neurobehavioral Associates, LLC (New Bedford, MA) and Glens Falls Hospital Inc. (Glens Falls, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Brundige's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Brundige affiliated with any hospitals?

According to CMS data, Nicole Brundige is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Brundige was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.