Active NPI
Tiffany Brimberry, PSYD
- Psychologist
- Commerce City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY.0004679
- Practice address
- 13611 E 104TH Ave Unit 100
Commerce City, CO 80022 - Phone
- (720) 593-4673
- NPI assigned
- Sep 13, 2015
- Last updated
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0004679 | CO | Primary |
Addresses
Primary practice location
13611 E 104TH Ave Unit 100
Commerce City, CO 80022
Mailing address
245 N Oak Hill Way
Aurora, CO 80018-1785
Phone (303) 875-8936
Other practice location 1
4455 E 12th Ave
Denver, CO 80220-2415
Phone (303) 504-7817
Other practice location 2
6040 S Gun Club Rd Unit G1
Aurora, CO 80016-5305
Phone (720) 722-9613
Other practice location 3
10233 S Parker Rd Ste 300
Parker, CO 80134-9365
Phone (720) 722-9613
Other practice location 4
12760 Stroh Ranch Way Ste 105
Parker, CO 80134-7505
Phone (720) 722-9613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Phone (800) 997-6196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0004679 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Psychologist | Current | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104
1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238
3033 Campus Dr
Ste W225
Plymouth, MN 55441
Phone (415) 429-6977
2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222
Interoperability endpoints
- tiffany.brimberry.1@30520.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
CO, PA, Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1144698739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N OAK HILL WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800181785",
"telephone_number": "303-875-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13611 E 104TH AVE UNIT 100",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "80022",
"telephone_number": "720-593-4673"
}
],
"practiceLocations": [
{
"address_1": "4455 E 12th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802202415",
"country_code": "US",
"telephone_number": "303-504-7817",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6040 S Gun Club Rd Unit G1",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800165305",
"country_code": "US",
"telephone_number": "720-722-9613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10233 S Parker Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801349365",
"country_code": "US",
"telephone_number": "720-722-9613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12760 Stroh Ranch Way Ste 105",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801347505",
"country_code": "US",
"telephone_number": "720-722-9613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIMBERRY",
"first_name": "TIFFANY",
"name_prefix": "Miss",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-13",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0004679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.