S Berlin Brahnam, PH.D.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

Practice address

3543 S Lone Pine Ave
Springfield, MO 65804-4854

Phone

(417) 885-9171

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1013304575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 S NATIONAL AVE",
            "address_2": "#259",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102607",
            "telephone_number": "417-885-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 S LONE PINE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044854",
            "telephone_number": "417-885-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHNAM",
        "first_name": "S",
        "middle_name": "BERLIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Lee Bradshaw
• Sarah D Bradshaw, MSW, LCSW
• Daniel Edward Brady, MD
• Jonathan D Brady, AA
• Mark Brady, M.D.
• Stacy Lynette Braiuca, MSW,MPH,LCSW,LSCSW
• Rachel Brakebill, MASSAGE THERAPIST
• Mary Kathryn Brammer, MS, PLPC
• Rachel Lynne Brandes, DDS
• Gretchen Brandhorst, PSYD

• All providers in Springfield, MO
• Psychoanalyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.