Active NPI
Rick Scott Brenner
- School Psychologist
- Pickerington, OH
National Provider Identifier
1043690191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH1277534
- Practice address
- 90 N East St
Pickerington, OH 43147-1170 - Phone
- (614) 920-6162
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH1277534 | OH | Primary |
Addresses
Primary practice location
90 N East St
Pickerington, OH 43147-1170
Mailing address
7593 Lorimar Dr
Reynoldsburg, OH 43068-8300
Phone (740) 973-6784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH1277534 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pickerington Local Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Pickerington, OH
- NPI 1336389816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1043690191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7593 LORIMAR DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688300",
"telephone_number": "740-973-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 N EAST ST",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431471170",
"telephone_number": "614-920-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "RICK",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH1277534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.