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DR. BEVERLY BRYSK PHD
NPI 1790823664
Psychologist - Cognitive & Behavioral in Montclair, NJ

Active since February 02, 2007Opted out of Medicare · through Nov 6, 2026
303 CLAREMONT AVE, MONTCLAIR, NJ 07042(973) 783-2121(973) 783-0112 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Beverly Brysk Phd NPPES

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

DR. BEVERLY BRYSK PHD (NPI 1790823664) is an individual cognitive & behavioral provider in Montclair, New Jersey, licensed in New Jersey (5103005) and active in the NPI registry since February 2007. She has opted out of Medicare through November 6, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790823664
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. BEVERLY BRYSKCredential: PHD
Location Address303 CLAREMONT AVEMontclair, NJ 07042-2813
Mailing Address303 Claremont AveMontclair, NJ 07042 · (973) 783-2121 · Fax (973) 783-0112
Phone(973) 783-2121
Fax(973) 783-0112
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1790823664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in NJ · 5103005
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X · License 5103005 (NJ)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 8103005 (NJ)

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. Beverly Brysk Phd 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 November 6, 2012 through November 6, 2026.

Opt-Out Effective DateNovember 6, 2012
Opt-Out In Effect ThroughNovember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

MS. GINA L. SHARPE M.S.W
Social Worker (Clinical)
303 CLAREMONT AVE
MONTCLAIR, NJ 07042
Essex County (973) 509-1618
DR. SUSAN C. PARENTE PSY.D.
Psychologist
303 CLAREMONT AVE
MONTCLAIR, NJ 07042
Essex County (973) 509-1113

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 Beverly Brysk's NPI number?

The NPI number for Beverly Brysk is 1790823664. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Beverly Brysk located?

Beverly Brysk practices at 303 Claremont Ave, Montclair, NJ 07042. The listed phone number is (973) 783-2121.

What is Beverly Brysk's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Beverly Brysk enrolled in Medicare?

No. Beverly Brysk has opted out of Medicare through November 6, 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 Beverly Brysk was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.