DR. ALEXANDRA BROUSTOVETSKAIA PH.D.
NPI 1124516026
Psychologist - Counseling in Raleigh, NC
About Dr. Alexandra Broustovetskaia Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDRA BROUSTOVETSKAIA PH.D. (NPI 1124516026) is an individual counseling provider in Raleigh, North Carolina, licensed in Massachusetts (10641) and active in the NPI registry since April 2018. She has opted out of Medicare through October 2, 2026 and remains eligible to order and refer and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Alexandra Broustovetskaia Ph.d. 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 October 2, 2018 through October 2, 2026.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27615
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 Alexandra Broustovetskaia's NPI number?
The NPI number for Alexandra Broustovetskaia is 1124516026. It was assigned to this individual provider in the NPPES registry on April 25, 2018.
Where is Alexandra Broustovetskaia located?
Alexandra Broustovetskaia practices at 8303 Six Forks Rd Ste 207, Raleigh, NC 27615. The listed phone number is (919) 245-7791.
What is Alexandra Broustovetskaia's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Alexandra Broustovetskaia enrolled in Medicare?
No. Alexandra Broustovetskaia has opted out of Medicare through October 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Alexandra Broustovetskaia was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.