MICHELLE A BRISMAN PH.D.
NPI 1770663460
Psychologist - Clinical in Hartford, CT
NPI Status: Active since October 17, 2006
Contact Information
675 TOWER AVE
SUITE 301
HARTFORD, CT
ZIP 06112
Phone: (860) 714-2750
Fax: (860) 714-8591
- Individual
- Female
- Psychologist
- Clinical
- PECOS Enrolled
About MICHELLE BRISMAN
This page provides the complete NPI Profile along with additional information for Michelle Brisman, a provider established in Hartford, Connecticut with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1770663460 assigned on October 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 002344 (CT). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1770663460
- Provider Name
- MICHELLE A BRISMAN PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 675 TOWER AVE SUITE 301 HARTFORD, CT 06112
- Location Phone
- (860) 714-2750
- Location Fax
- (860) 714-8591
- Mailing Address
- 675 TOWER AVE SUITE 301 HARTFORD, CT 06112
- Mailing Phone
- (860) 714-2750
- Mailing Fax
- (860) 714-8591
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2006
- Last Update Date
- 03-15-2017
- Code Navigator
A clinical psychologist like Michelle Brisman assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 002344
- License State
- CT
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 002344 (CT) |
Medicare Participation & PECOS Enrollment Status
Michelle Brisman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06112 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $183.1
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $45.77
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.68
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $26.67
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 6 | 6 | 3 | 4 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 12 | 6 | 6 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 2 + 6 + 6 + 4 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1770663460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871534123 | MS. MARGARET L DILLON LCSW Individual | Social Worker (Clinical) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1013958057 | ROBERT F SWORDS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1013923317 | KEVIN NELSON ASP LCSW Individual | Social Worker (Clinical) | 675 TOWER AVE #301 HARTFORD, CT 06112 (860) 714-2750 |
| 1922014224 | KATHY ANN TAYLOR LPC Individual | Counselor (Professional) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1669542379 | COMMUNITY RENEWAL TEAM Organization | Community/Behavioral Health | 675 TOWER AVE HARTFORD, CT 06112 (860) 714-3729 |
| 1174695720 | SUSAN E CORRELL LCSW Individual | Social Worker (Clinical) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1437203148 | JEFFREY F LIDDLE Individual | Counselor (Professional) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1881713337 | ASHANTI MEDICAL ASSOCIATES LLC Organization | Internal Medicine (Gastroenterology) | 675 TOWER AVE SUITE 402 HARTFORD, CT 06112 (860) 714-2992 |
| 1407055890 | MR. DALE GEORGE MAJZEL MS Individual | Counselor (Addiction (Substance Use Disorder)) | 675 TOWER AVE SUITE 308 HARTFORD, CT 06112 (860) 714-2718 |
| 1710186101 | MS. BELINDA JETER-ROSEMOND B.S. Individual | Counselor (Addiction (Substance Use Disorder)) | 675 TOWER AVE HARTFORD, CT 06112 (860) 714-2932 |
| 1275733941 | DEBORAH C. KOVALL LADC, LPC Individual | Counselor (Addiction (Substance Use Disorder)) | 675 TOWER AVE SUITE308 HARTFORD, CT 06112 (860) 714-9200 |
| 1700060217 | ANN S LENZ PSY.D Individual | Psychologist (Clinical) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1972780799 | KAREN E FAHEY LCSW Individual | Social Worker (Clinical) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1992979991 | STEPHANIE D KRULEWITZ LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1497920250 | MS. EDWINA MYERS WALKER LCSW Individual | Social Worker (Clinical) | 675 TOWER AVE SUITE 308 HARTFORD, CT 06112 (860) 714-9200 |
| 1679722235 | ANTHONY J COLOMBRITO LPC Individual | Counselor | 675 TOWER AVE SUITE 312 HARTFORD, CT 06112 (860) 714-9200 |
| 1124252804 | JESSICA H CLANCY Individual | Social Worker (Clinical) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1881822468 | MISS RHONDA FAYE JOHNSON-KNIGHT Individual | Counselor | 675 TOWER AVE HARTFORD, CT 06112 (860) 714-9200 |
| 1568775419 | STACEY LYNN JOHNSON LCSW Individual | Social Worker (Clinical) | 675 TOWER AVE SUITE 301 HARTFORD, CT 06112 (860) 714-2750 |
| 1053613752 | COMMUNITY RENEWAL TEAM Organization | Case Management | 675 TOWER AVE 303 HARTFORD, CT 06112 (860) 714-3340 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770663460, enumerated in the NPI registry as an "individual" on October 17, 2006
The provider is located at 675 Tower Ave Suite 301 Hartford, Ct 06112 and the phone number is (860) 714-2750
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $183.1 with an average copayment of $45.77 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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