Healthcare Provider Details

I. General information

NPI: 1578481941
Provider Name (Legal Business Name): BRUSH NEUROPSYCHOLOGY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 COOLIDGE HWY STE 101
TROY MI
48084-3215
US

IV. Provider business mailing address

2855 COOLIDGE HWY STE 101
TROY MI
48084-3215
US

V. Phone/Fax

Practice location:
  • Phone: 248-270-5974
  • Fax:
Mailing address:
  • Phone: 248-270-5974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MATTHEW BRUSH
Title or Position: CO-OWNER
Credential: PHD
Phone: 248-270-5974