Brynn T Pembroke, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0035797 Issued in OH

Practice address

4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015

Phone

(513) 563-0488

NPI assigned

Nov 12, 2012

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neuropsych Center of Greater Cincinnati LLCGroup PAC ID 2567754815, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuropsych Center of Greater Cincinnati LLC

  • Clinical Neuropsychologist
  • Cincinnati, OH
  • NPI 1801241237

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Neuropsych Center of Greater Cincinnati LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1164238150
  NPD
• Neuropsych Center of Greater Cincinnati

  • Clinical Psychologist
  • Fort Thomas, KY
  • NPI 1790222065
  NPD (past)

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1033453295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414015",
            "telephone_number": "513-563-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414015",
            "telephone_number": "513-563-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBROKE",
        "first_name": "BRYNN",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035797",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Pelnick, PHD
• Carrie Pelphrey
• Holly Pelphrey, COUNSELOR TRAINEE
• Christopher B Peltier, M.D.
• Karl Berthold Pembaur, M.D.
• Maria I Pena Kumpf
• Jody Marie Pena, MPT
• Loren D.M. Pena, MD, PHD
• Yudeliza Pena
• Alicia D Pence, PHARM D

• Psychiatric/Mental Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.