Dr. John C Brennan PSYD, LP, PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014907 Issued in MI

Legal business name

DR. JOHN C BRENNAN PSYD, LP, PLC

Practice address

2955 Biddle Ave Ste 200
Wyandotte, MI 48192-5231

Phone

(249) 698-8993

Fax

(734) 324-1566

NPI assigned

Jan 23, 2018

Organization subpart

Yes

Parent organization

DR. JOHN C BRENNAN PSYD, LP, PLCAs reported in NPPES

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

Authorized official

Name

Dr. John Charles Brennan, PSYD, LPNPI 1538595244

Title

Sole Propietor

Phone

(248) 470-6225

Specialties & licenses 1

Addresses

Other names 2

• Downriver Horizon Counseling Other name
• Horizon Counseling Services Other name

Part of

Dr John C Brennan PSYD LP PLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Charles Brennan, PSYD

  • Clinical Psychologist
  • Wyandotte, MI
  • NPI 1538595244
  NPD Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245738418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 BIDDLE AVE STE 200",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925231",
            "telephone_number": "249-698-8993",
            "fax_number": "734-324-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BIDDLE AVE STE 200",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925231",
            "telephone_number": "249-698-8993",
            "fax_number": "734-324-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Crooks Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480734049",
            "country_code": "US",
            "telephone_number": "248-698-8993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JOHN C BRENNAN PSYD, LP, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. JOHN C BRENNAN PSYD, LP, PLC",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "248-470-6225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downriver Horizon Counseling",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Horizon Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.