William Louis Brim, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04405 Issued in MD

Practice address

301 Steeple Chase Dr
Suite 104
Prince Frederick, MD 20678-4049

Phone

(410) 570-1163

NPI assigned

Nov 4, 2005

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1174514392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206391295",
            "telephone_number": "410-570-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STEEPLE CHASE DR",
            "address_2": "SUITE 104",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784049",
            "telephone_number": "410-570-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIM",
        "first_name": "WILLIAM",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2608",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04405",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MD",
            "license": "04405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania J Bradley, MS, OTR/L
• Lauren E Brendel, PA-C
• Angelique Bridges
• Michael Wayne Bridgett, CRNP
• Yvonne Renee Bright, MD
• Holly Rogers Briscoe, LCSW-C
• Alissa Britt
• Zachary John Broach, LMT
• Alyssa Brodeur
• John Michael Brooks, MD

• Clinical Psychologist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.