Individual provider Active NPI

Karla Brennscheidt, PSY.D.

  • Clinical Neuropsychologist
  • Cedar Falls, IA
National Provider Identifier
1104151471
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1224 Issued in IA
Practice address
209 Franklin St
Ste a-2
Cedar Falls, IA 50613-2746
Phone
(319) 273-8049
Fax
(319) 273-8054
NPI assigned
Oct 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1224 IA Primary
Rehabilitation Psychologist 103TR0400X 1224 IA

Addresses

Primary practice location

209 Franklin St
Ste a-2
Cedar Falls, IA 50613-2746

Mailing address

209 Franklin St
Ste a-2
Cedar Falls, IA 50613-2746
Phone (319) 273-8049

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1224IAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1104151471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FRANKLIN ST",
            "address_2": "STE A-2",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132746",
            "telephone_number": "319-273-8049",
            "fax_number": "319-273-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FRANKLIN ST",
            "address_2": "STE A-2",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132746",
            "telephone_number": "319-273-8049",
            "fax_number": "319-273-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNSCHEIDT",
        "first_name": "KARLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IA",
            "license": "1224",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IA",
            "license": "1224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.