Ann Susan Brenner, MARRIAGE AND FAMILY

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000486 Issued in CT

Practice address

31 Woods Grove Rd
Westport, CT 06880-2427

Phone

(203) 226-0464

Fax

(203) 226-0464

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255348066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WOODS GROVE RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802427",
            "telephone_number": "203-226-0464",
            "fax_number": "203-226-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WOODS GROVE RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802427",
            "telephone_number": "203-226-0464",
            "fax_number": "203-226-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "ANN",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MARRIAGE AND FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000432-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000486",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC15135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11561882",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "410000486CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Lee Bran, O.D.
• Branches of Hope, Inc.
• Aliza Lynn Brant, APRN
• Lori Estelle Breiner, D.C.
• Jennifer E Brennan, LCSW
• Richard Stuart Briggs, PHD
• Susan Brody, HSW, LCSW
• Browder Family Dentistry
• Thomas David Brown, L.P.C.
• Amanda Bruening, PH.D

• Marriage & Family Therapist in Westport, CT
• Providers in Westport, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.