MR. BRIAN CRAIG BERMACK PSY.D.
NPI 1538418587
Psychologist - Clinical in Arlington, MA

Active since September 06, 2012Opted out of Medicare · through May 15, 2027
5 WATER ST STE 5B, ARLINGTON, MA 02476(339) 707-5236(857) 366-9688 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brian Craig Bermack Psy.d. NPPES

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

MR. BRIAN CRAIG BERMACK PSY.D. (NPI 1538418587) is an individual clinical provider in Arlington, Massachusetts, licensed in Massachusetts (10403) and active in the NPI registry since September 2012. He has opted out of Medicare through May 15, 2027.

NPPES Registry Identity

NPI1538418587
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. BRIAN CRAIG BERMACKCredential: PSY.D.
Location Address5 WATER ST STE 5BArlington, MA 02476-4807
Mailing Address5 Water St Ste 5bArlington, MA 02476-4807 · (339) 707-5236 · Fax (857) 366-9688
Fax(857) 366-9688
Sole ProprietorNo
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJune 18, 2021
NPPES CertifiedJune 18, 2021
NPI 1538418587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MA · 10403
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 10403 (MA)
5 WATER ST STE 5B, Arlington, MA 02476

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Brian Craig Bermack Psy.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 May 15, 2023 through May 15, 2027.

Opt-Out Effective DateMay 15, 2023
Opt-Out In Effect ThroughMay 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
5 WATER ST STE 5B
ARLINGTON, MA 02476

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 Brian Bermack's NPI number?

The NPI number for Brian Bermack is 1538418587. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Brian Bermack located?

Brian Bermack practices at 5 Water St Ste 5B, Arlington, MA 02476. The listed phone number is (339) 707-5236.

What is Brian Bermack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Brian Bermack enrolled in Medicare?

No. Brian Bermack has opted out of Medicare through May 15, 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 Brian Bermack was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.