Individual provider Active NPI

Joe Ann Marie Brandt, PH.D.

  • Psychologist
  • Savannah, GA
National Provider Identifier
1275159584
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY000709 Issued in GA
Practice address
11706 Mercy Blvd Ste 1
Savannah, GA 31419-1751
Phone
(912) 927-7130
Fax
(912) 920-3401
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY000709 GA Primary

Addresses

Primary practice location

11706 Mercy Blvd Ste 1
Savannah, GA 31419-1751

Mailing address

11706 Mercy Blvd Ste 1
Savannah, GA 31419-1751
Phone (912) 927-7130

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jbrandt@savannahpsychological.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY000709GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1275159584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 MERCY BLVD STE 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191751",
            "telephone_number": "912-927-7130",
            "fax_number": "912-920-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11706 MERCY BLVD STE 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191751",
            "telephone_number": "912-927-7130",
            "fax_number": "912-920-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "JOE ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY000709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jbrandt@savannahpsychological.com",
            "affiliation": "N",
            "address_1": "11706 Mercy Blvd Ste 1",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314191751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.