Donna Brent, PSYD
Individual provider Active NPI Psychologist · Guilderland, NY
NPI 1285703280 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1285703280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 011045-1 (NY)
- Practice address
- 2280 Western Ave
Guilderland, NY 12084 - Phone
- (518) 456-5056
- Fax
- (518) 456-6512
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- State University of Ny Upstate Medical University, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Karner Psychological Associates PC
Practice addresses (Care Compare)
2280 Western Ave
Guilderland, NY 12084-9210
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070910000375 | NY | Practitioner - Clinical Psychologist | 8123111044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011045-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karner Psychological Associates PC | Psychologist | Current |
Accepting new patients |
Locations
2280 Western Ave
Guilderland, NY 12084
Phone (518) 456-5056
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011045-1 | NY | Yes |
Addresses
Primary practice location
2280 Western Ave
Guilderland, NY 12084
Mailing address
2280 Western Ave
Guilderland, NY 12084
Phone (518) 456-5056
Other providers in Guilderland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.