Individual provider Active NPI

Emily Ann Brewer, PHD, LP, LSSP

  • Psychologist
  • Bryan, TX
National Provider Identifier
1205446630
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38652 Issued in TX
Practice address
1100 Briarcrest Dr
Bryan, TX 77802-2529
Phone
(979) 229-7636
NPI assigned
Jul 31, 2020
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38652 TX Primary
School Psychologist 103TS0200X 71324 TX

Addresses

Primary practice location

1100 Briarcrest Dr
Bryan, TX 77802-2529

Mailing address

1100 Briarcrest Dr
Bryan, TX 77802-2529
Phone (979) 229-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514000041 TX Practitioner - Psychologist Billing Independently 7517376932 Practice locations: Bryan, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
71324TXMDMental Health Counselor
38652TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Counseling, P.L.L.C. Psychologist CurrentSince Mar 1, 2022 Accepting new patients

Locations

1100 Briarcrest Dr
Bryan, TX 77802
Phone (979) 229-7636

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1205446630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BRIARCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022529",
            "telephone_number": "979-229-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BRIARCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022529",
            "telephone_number": "979-229-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38652",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "71324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.