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NPISignal

Individual Healthcare Provider

Alexandra Broustovetskaia, PH.D.

NPI Record: ActivePsychologist — Counseling
NPI1124516026
Raleigh, North Carolina

Provider's NPPES record last updated: October 2, 2018

Overview

Entity Type
Individual Healthcare Provider
NPI
1124516026
Primary Specialty
Psychologist — Counseling
Practice Location
Raleigh, North Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:57 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Counseling

    Behavioral Health & Social Service Providers

    Primary

    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

    Taxonomy code 103TC1900X

Provider-Reported License Information

Psychologist (Massachusetts)
10641
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

8303 Six Forks Rd Ste 207

Raleigh, North Carolina 27615

Phone: (919) 245-7791

Additional Practice Location

400 Fenway

Boston, Massachusetts 02115-5725

Phone: (617) 735-9920

Record Information

Enumeration Date
April 25, 2018
Provider's NPPES Record Last Updated
October 2, 2018
NPISignal NPPES Dataset
August 2026

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