Individual provider Active NPI

Tiffany Brimberry, PSYD

  • Psychologist
  • Commerce City, CO
National Provider Identifier
1144698739
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0004679 Issued in CO
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201216000413 CO Practitioner - Clinical Psychologist 2163834144 Reassigns benefits to 1 organization
I20250722001250 PA Practitioner - Clinical Psychologist 2163834144 Reassigns benefits to 1 organization

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
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

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

LicenseStateTypeSpecialty
PSY.0004679COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Psychologist CurrentSince Oct 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.