Active NPI
Brianna M Brandon, PSY.D.
- Psychologist
- Land O Lakes, FL
National Provider Identifier
1003529231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY11726
- Practice address
- 2380 Tapestry Park Dr Apt 303
Land O Lakes, FL 34639-0179 - Phone
- (321) 626-5720
- NPI assigned
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY11726 | FL | Primary |
Addresses
Primary practice location
2380 Tapestry Park Dr Apt 303
Land O Lakes, FL 34639-0179
Mailing address
2380 Tapestry Park Dr Apt 303
Land O Lakes, FL 34639-0179
Phone (321) 626-5720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- AL HMO D-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO D-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO
- FL HMO
- FL HMO C-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1003529231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 TAPESTRY PARK DR APT 303",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346390179",
"telephone_number": "321-626-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 TAPESTRY PARK DR APT 303",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346390179",
"telephone_number": "321-626-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "BRIANNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY11726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.