Brittany Elizabeth Abdelsalam, MA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

202325 Issued in AR

Practice address

4301 W Markham St # 568
Little Rock, AR 72205-7101

Phone

(501) 320-7302

NPI assigned

Mar 26, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

• Brittany Elizabeth Fust Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2024.

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1043060650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ANTOINE ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923306",
            "telephone_number": "734-536-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 568",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-320-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELSALAM",
        "first_name": "BRITTANY",
        "middle_name": "ELIZABETH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AR",
            "license": "202325",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "202325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "FUST",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ahmed T Abdelal, M.D.
• Mohamed A Abdeldayem, M.D.
• Samer Abdelkader, DO
• Ahmed Abdelmonem
• Esamelden Salah Abdelnaem, M.D.
• Zainab Abdulwahab, MBBS
• Abeer Hashmi, MD, PA
• Lee C Abel, M.D.
• Enrico Abernathy
• Melody Abernathy, RRA

• All providers in Little Rock, AR
• Clinical Neuropsychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.