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MARINA BREYDO MHC
NPI 1093036170
Counselor - Mental Health in West Roxbury, MA

Active since June 12, 2010Opted out of Medicare · through Jun 10, 2027
540 VFW PKWY, WEST ROXBURY, MA 02132(617) 325-2993(617) 325-2994 Get Directions Write a Review

NPPES record last updated: June 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marina Breydo Mhc NPPES

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

MARINA BREYDO MHC (NPI 1093036170) is an individual mental health provider in West Roxbury, Massachusetts and active in the NPI registry since June 2010. She has opted out of Medicare through June 10, 2027.

NPPES Registry Identity

NPI1093036170
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARINA BREYDOCredential: MHC
Location Address540 VFW PKWYWest Roxbury, MA 02132-1332
Mailing Address540 Vfw PkwyWest Roxbury, MA 02132-1332 · (617) 325-2993 · Fax (617) 325-2994
Phone(617) 325-2993
Fax(617) 325-2994
Sole ProprietorNo
Enumeration DateJune 12, 2010
✔ NPI 1093036170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
540 VFW PKWY, West Roxbury, MA 02132
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marina Breydo Mhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 10, 2025 through June 10, 2027.

Opt-Out Effective DateJune 10, 2025
Opt-Out In Effect ThroughJune 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

THOMAS LONG MSW
Social Worker (Clinical)
540 VFW PKWY
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993
NICHOLE ARTAVIA
Counselor (Mental Health)
540 VFW PKWY, SUITE 6
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993
MRS. YELENA Z LUKASHEV MA
Counselor
540 VFW PKWY, #8
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993
ANNIE PELISSIER
Community Health Worker
540 VFW PKWY
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993
LINDA COHEN
Psychologist
540 VFW PKWY, STE 8
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993
AARON BELLER MSW
Social Worker (Clinical)
540 VFW PKWY, STE 8
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993
KELLEY ANN MACDOUGALL
Counselor (Mental Health)
540 VFW PKWY
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993
EUGENE DELOATCH SR. MFT
Marriage & Family Therapist
540 VFW PKWY
WEST ROXBURY, MA 02132
Suffolk County (617) 325-2993

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 Marina Breydo's NPI number?

The NPI number for Marina Breydo is 1093036170. It was assigned to this individual provider in the NPPES registry on June 12, 2010.

Where is Marina Breydo located?

Marina Breydo practices at 540 Vfw Pkwy, West Roxbury, MA 02132. The listed phone number is (617) 325-2993.

What is Marina Breydo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marina Breydo enrolled in Medicare?

No. Marina Breydo has opted out of Medicare through June 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marina Breydo was last updated on June 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.