Active NPI
Helene G Brenner, PH.D.
- Clinical Psychologist
- Frederick, MD
National Provider Identifier
1205002029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2801
- Practice address
- 97 S McCain Dr
Ste. B
Frederick, MD 21703-6055 - Phone
- (301) 695-5858
- Fax
- (301) 607-6791
- NPI assigned
- May 1, 2008
- Last updated
- May 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2801 | MD | Primary |
| Counseling Psychologist | 103TC1900X | 2801 | MD |
Addresses
Primary practice location
97 S McCain Dr
Ste. B
Frederick, MD 21703-6055
Mailing address
97 S McCain Dr
Ste. B
Frederick, MD 21703-6055
Phone (301) 695-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2801 | MD | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1205002029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 S MCCAIN DR",
"address_2": "STE. B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036055",
"telephone_number": "301-695-5858",
"fax_number": "301-607-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 S MCCAIN DR",
"address_2": "STE. B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036055",
"telephone_number": "301-695-5858",
"fax_number": "301-607-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "HELENE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "2801",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "2801",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.