RYAN PALMER BRIMIGION, Psy.D. — NPI 1629595475 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1629595475

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TF0200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic

Box 32 Service Location & ZIP+4

85 E NEWTON ST, BOSTON, MA, 02118-2841

✓ 9-Digit EDI 837 ZIP+4 (02118-2841)

Practice Phone & Referral Fax

(617) 626-8716

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629595475 (RYAN PALMER BRIMIGION, Psy.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629595475` (NPI-1 Individual Practitioner)
Provider / Legal Name	RYAN PALMER BRIMIGION, Psy.D.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic NUCC Code: `103TF0200X` (Psychologist, Forensic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	85 E NEWTON ST, BOSTON, MA, 02118-2841
Practice Telephone / Fax	Tel: (617) 626-8716
Administrative Mailing Address	189 N COMMON RD, WESTMINSTER, MA, 01473-1023
Enumeration & Last Sync	Enumerated: 2017-08-23 \| CMS Record Updated: 2022-07-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

85 E NEWTON ST, BOSTON, MA, 02118-2841

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Plain-English Taxonomy & CMS Crosswalk (103TF0200X)

What Does Taxonomy Code 103TF0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TF0200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Forensic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RYAN PALMER BRIMIGION, Psy.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TF0200X` — Psychologist, Forensic Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic	State: MA \| License: `9955` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RYAN PALMER BRIMIGION, Psy.D. (NPI #1629595475)