Barry R. Brink, PHD, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-008801-L Issued in PA

Legal business name

BARRY R. BRINK, PHD, P.C.

Practice address

830 Fairway Rd
State College, PA 16803-3412

Phone

(814) 231-5250

Fax

(814) 943-2022

NPI assigned

Mar 15, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lela Brink

Title

Business Manager

Phone

(814) 231-5250

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry R. Brink, PH.D.

  • Clinical Child & Adolescent Psychologist
  • State College, PA
  • NPI 1053311217
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1265566848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FAIRWAY RD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033412",
            "telephone_number": "814-231-5250",
            "fax_number": "814-943-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FAIRWAY RD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033412",
            "telephone_number": "814-231-5250",
            "fax_number": "814-943-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY R. BRINK, PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "LELA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "814-231-5250"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-008801-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Turner Baron
• Kristi L. Barr, PA-C
• Olivia C Barr, LPC
• Owen William Barr
• Barry L Holden DMD PC
• Evelyn K. Bartsch, LCSW
• Karl Bartsch, PH.D.
• Cheri A Basco, D.M.D.
• Joseph Basedow, D.O.
• Maria Basedow, DO

• Psychologist in State College, PA
• Providers in State College, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.