Keri A. Bressette, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY004304 Issued in GA

Practice address

201 Bob Wallace Ave SW
Huntsville, AL 35801-3810

Phone

(256) 642-7400

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Spectrum Mental Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntsville, AL
  • NPI 1093321994
  NPD Authorized official
• North Florida Children'S Mental Wellness, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Huntsville, AL
  • NPI 1538676671
  NPD
• Mosaic Psychological Services, LLC

  • Psychologist
  • Thomasville, GA
  • NPI 1770011058
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1154976496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BOB WALLACE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013810",
            "telephone_number": "256-642-7400",
            "fax_number": "256-642-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOB WALLACE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013810",
            "telephone_number": "256-642-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESSETTE",
        "first_name": "KERI",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2195",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "004304",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY004304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breast Care Center, P.C.
• Breast Oncology Specialists LLC
• Breathe Better Institute of Huntsville, LLC
• Elizabeth Ann Breland, M.S. CCC-SLP
• Brenda J Peak DO PC
• Brian Doyle Brettel
• Carrie Frances Brewer, RN
• Rachel Brewer, MS
• Shea Brewer, NP
• BRG Services LLC

• Clinical Child & Adolescent Psychologist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Child & Adolescent Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.