CMS-1500 Box 24J / 33a • NPI
1992351787
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YM0800X (CMS E2)
Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor
Box 32 Service Location & ZIP+4
111 ELWYN RD, ELWYN, PA, 19063-4622
✓ 9-Digit EDI 837 ZIP+4 (19063-4622)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1992351787 (MICHAEL BRUDZINSKI, MA) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1992351787 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL BRUDZINSKI, MA |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: 101YM0800X (Counselor, Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 111 ELWYN RD, ELWYN, PA, 19063-4622 |
| Practice Telephone / Fax | Tel: (610) 891-7007 |
| Administrative Mailing Address | 111 ELWYN RD, ELWYN, PA, 19063-4622 |
| Enumeration & Last Sync | Enumerated: 2019-08-16 | CMS Record Updated: 2023-02-08 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (101YM0800X)
What Does Taxonomy Code 101YM0800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YM0800X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL BRUDZINSKI, MA)
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
- 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 |
|---|---|
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: PA | License: BH006047 | Primary: Yes (Primary) |
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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