Allan Jay Brenman, ED.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

410 Issued in RI

Practice address

1 Richmond SQ Ste 307E
Providence, RI 02906-5121

Phone

(401) 831-5262

Fax

(401) 274-4549

NPI assigned

Oct 10, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1265520159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 307E",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065121",
            "telephone_number": "401-831-5262",
            "fax_number": "401-274-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 307E",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065121",
            "telephone_number": "401-831-5262",
            "fax_number": "401-274-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENMAN",
        "first_name": "ALLAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "410",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "RI",
            "license": "410",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "RI",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003573",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Breiding, MD
• Jayce Joseph Breig, MD
• Julia Anne Brekke-Riedl, MD, PHD
• Andrew S Brem, MD
• Debra Brendel, MD
• Brian W Brennan, THM, MA, LMHC
• Christine M Brennan, LICSW
• Denise E Brennan, RN
• Heather Lea Brennan, OTR/L
• Keith William Brennan, M.D.

• Counseling Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Counseling Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.