Laurence Brenner, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

1348 10TH Ave
San Francisco, CA 94122-2304

Phone

(415) 564-2310

Fax

(415) 564-2313

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063580439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 ROOSEVELT WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141434",
            "telephone_number": "415-861-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 10TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222304",
            "telephone_number": "415-564-2310",
            "fax_number": "415-564-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yali Brennan, PHARMD
• Deborah Brenner-Liss, PHD
• Jason Michael Brenner, PHARM.D.
• Jennifer Kate Brenner
• Jill F Brenner, PT, DPT, ATC, OCS
• Richard J. Brenner, MD
• Stacey Rayelle Brenner, MD
• Cheryl Marie Brent-Simmons
• Bruce N Brent, MD
• Richard Lawrence Brent, D.C.

• Clinical Child & Adolescent Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.