DR. ALEXANDRIA BRUNKOW PH.D
NPI 1821979329
Psychologist - Health in Hanover, NH

Q: What is Alexandria Brunkow's NPI number?

The NPI number for Alexandria Brunkow is 1821979329. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Q: What is Alexandria Brunkow's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Q: Is Alexandria Brunkow enrolled in Medicare?

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

Active since September 10, 2025Opted out of Medicare · through Sep 10, 2027

45 LYME RD STE 300, HANOVER, NH 03755(603) 755-6535(603) 389-9331 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alexandria Brunkow Ph.d NPPES

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

DR. ALEXANDRIA BRUNKOW PH.D (NPI 1821979329) is an individual health provider in Hanover, New Hampshire, licensed in Rhode Island (PS02375) and active in the NPI registry since September 2025. She has opted out of Medicare through September 10, 2027.

NPPES Registry Identity

NPI1821979329

Entity TypeIndividualFemale

Primary Taxonomy103TH0004X

Provider Legal NameDR. ALEXANDRIA BRUNKOWCredential: PH.D

Location Address45 LYME RD STE 300Hanover, NH 03755-1223

Mailing Address45 Lyme Rd Ste 300Hanover, NH 03755-1223 · (603) 755-6535 · Fax (603) 389-9331

Phone(603) 755-6535

Fax(603) 389-9331

Sole ProprietorNo

Enumeration DateSeptember 10, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1821979329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers

Taxonomy Code103TH0004X

Licenses✔ Licensed in RI · PS02375✔ Licensed in NH · 7125

Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

45 LYME RD STE 300, Hanover, NH 03755

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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

Dr. Alexandria Brunkow 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 September 10, 2025 through September 10, 2027.

Opt-Out Effective DateSeptember 10, 2025

Opt-Out In Effect ThroughSeptember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. HEATHER BEMIS PHD

Psychologist (Clinical)