Brian Christopher Doane, PH.D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY9625 Issued in FL

Practice address

20747 Sterlington Dr
Land O Lakes, FL 34638-4317

Phone

(616) 735-0397

Fax

(813) 907-9494

NPI assigned

Jan 30, 2018

Sex

Male

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Tampa Bay Counseling Services, LLC

  • Counseling Psychologist
  • Tampa, FL
  • NPI 1437657806
  NPD Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1124526629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "616-735-0397",
            "fax_number": "813-907-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "616-735-0397",
            "fax_number": "813-907-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOANE",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY9625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• District School Board of Pasco County
• District School Board of Pasco County
• District School Board of Pasco County
• Sandra Cralicia Dixon, RMHCI
• Dna Comprehensive Therapy Services, LLC
• Cori Layne Dobrzanski, M.S., CCC-SLP
• Donna Elaine Harrell
• Rebecca Jane Donnelly
• Jarrett Jamal Dottin, OTR/L, MOT, CLWT
• Kelly Ann Downing, P.T.

• Counseling Psychologist in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.