Individual provider Active NPI

Brittney Tattersall Murray, PSYD

  • Clinical Neuropsychologist
  • Port Orange, FL
National Provider Identifier
1043556624
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY10811 Issued in FL
Practice address
3821 Woodbriar TRL Ste 105
Port Orange, FL 32129-9615
Phone
(312) 978-7848
NPI assigned
Dec 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY10811 FL Primary

Addresses

Primary practice location

3821 Woodbriar TRL Ste 105
Port Orange, FL 32129-9615

Mailing address

3821 Woodbriar TRL Ste 105
Port Orange, FL 32129-9615
Phone (312) 978-7848

Other names 1

  • Dr. Brittney Tattersall Bristow-Murray Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007002606 FL Practitioner - Clinical Psychologist 3971922121 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3821 Woodbriar TRL
Suite 105
Port Orange, FL 32129-9615
Phone (386) 317-0062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY10811FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Sep 8, 2020 Accepting new patients
MCR Health, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Balanced Wellbeing LLC CurrentSince Sep 1, 2022 Accepting new patients
Brain Health Solutions, LLC Clinical Neuropsychologist CurrentSince Jan 7, 2025 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

3821 Woodbriar Trl
Ste 105
Port Orange, FL 32129
Phone (312) 978-7848

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1043556624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 WOODBRIAR TRL STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299615",
            "telephone_number": "312-978-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 WOODBRIAR TRL STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299615",
            "telephone_number": "312-978-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "BRITTNEY",
        "middle_name": "TATTERSALL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-30",
        "last_updated": "2024-07-23",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY10811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "BRISTOW-MURRAY",
            "middle_name": "TATTERSALL",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.