Active NPI
Julia Brannon PHD & Associates Incorporated
- Clinical Psychologist
- Reidsville, NC
National Provider Identifier
1003899634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1396
- Legal business name
- JULIA BRANNON PHD & ASSOCIATES INCORPORATED
- Practice address
- 546 Sandy Cross Rd
Reidsville, NC 27320-5571 - Phone
- (336) 951-0000
- Fax
- (336) 951-0002
- NPI assigned
- Nov 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julia M Brannon, PHD
- Title
- Owner
- Phone
- (336) 349-5553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1396 | NC | Primary |
Addresses
Primary practice location
546 Sandy Cross Rd
Reidsville, NC 27320-5571
Mailing address
546 Sandy Cross Rd
Reidsville, NC 27320-5571
Phone (336) 951-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000093 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Reidsville, NC
- NPI 1073795514
-
- Psychologist
- Reidsville, NC
- NPI 1528201811
-
- Psychologist
- Reidsville, NC
- NPI 1790779619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392076800000",
"number": "1003899634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 SANDY CROSS RD",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205571",
"telephone_number": "336-951-0000",
"fax_number": "336-951-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 SANDY CROSS RD",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205571",
"telephone_number": "336-951-0000",
"fax_number": "336-951-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIA BRANNON PHD & ASSOCIATES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-29",
"last_updated": "2014-02-11",
"status": "A",
"authorized_official_last_name": "BRANNON",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-349-5553",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000093",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.