Sandra Jeanne Brim, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY5844 Issued in CO

Practice address

321 Roosevelt Ave
Loveland, CO 80537-5446

Phone

(424) 355-3697

Fax

(970) 966-8905

NPI assigned

Nov 29, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA, CO2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandra J Brim, Psychology, P.C.

  • Clinical Psychologist
  • Loveland, CO
  • NPI 1679189377
  Medicare reassignment NPD Authorized official
• Sandra J. Brim, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1992255897
  NPD Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1295802189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ROOSEVELT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375446",
            "telephone_number": "424-355-3697",
            "fax_number": "970-966-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROOSEVELT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375446",
            "telephone_number": "424-355-3697",
            "fax_number": "970-966-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIM",
        "first_name": "SANDRA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY6790",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3205",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY5844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Denise Brewer, MS, CCC-SLP
• Pamela Bridge
• Amy Elizabeth Bridges, LPC
• Jessica Brien, LPC
• Ann Briggs, LCSW, LAC
• Stephani A Brinker, M.S., CCC-SLP
• Leighann Marie Brock, AGACNP-BC
• Alexander Brodeur, DMD
• Candace Leigh Bromley, PA-C
• Brookdale Senior Living Communities, Inc.

• Psychologist in Loveland, CO
• Providers in Loveland, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.