LAURA A BRENNAN PH.D.
NPI 1538701750
Psychologist in Bowdoinham, ME

Active since October 09, 2019Opted out of Medicare · through Apr 8, 2028
35 MAIN ST, BOWDOINHAM, ME 04008(617) 765-1228 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2022, Oct 9, 2019 (2 updates tracked since 2019).

About Laura A Brennan Ph.d. NPPES

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

LAURA A BRENNAN PH.D. (NPI 1538701750) is an individual psychologist in Bowdoinham, Maine, licensed in Massachusetts (11177) and active in the NPI registry since October 2019. She has opted out of Medicare through April 8, 2028.

NPPES Registry Identity

NPI1538701750
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLAURA A BRENNANCredential: PH.D.
Location Address35 MAIN STBowdoinham, ME 04008-4420
Mailing Address35 Main StBowdoinham, ME 04008-4420 · (617) 765-1228
Sole ProprietorYes
Enumeration DateOctober 9, 2019
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1538701750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 11177
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 11177 (MA), PS01801 (RI), PS2389 (ME)
35 MAIN ST, Bowdoinham, ME 04008

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Laura A Brennan 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 April 8, 2024 through April 8, 2028.

Opt-Out Effective DateApril 8, 2024
Opt-Out In Effect ThroughApril 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Laura Brennan's NPI number?

The NPI number for Laura Brennan is 1538701750. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Laura Brennan located?

Laura Brennan practices at 35 Main St, Bowdoinham, ME 04008. The listed phone number is (617) 765-1228.

What is Laura Brennan's specialty?

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

Is Laura Brennan enrolled in Medicare?

No. Laura Brennan has opted out of Medicare through April 8, 2028. 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 Laura Brennan was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.