Donal Eugene Brantley Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25067 Issued in TX

Practice address

1197 FM 2712
Crockett, TX 75835-4344

Phone

(936) 465-8580

NPI assigned

Aug 6, 2007

Last updated

Jun 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Healing Path Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crockett, TX
  • NPI 1114818333
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1295926079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 FM 2712",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758354344",
            "telephone_number": "936-465-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 FM 2712",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758354344",
            "telephone_number": "936-465-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "DONAL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Air Evac EMS, Inc. (Air Rescue: Houston County)
• At Home in Houston County. LLC (At Home in Houston County)
• Natalie Bachynsky, FNP
• Allysa Ballard, PTA
• Kimball Lamar Bishop, PTA
• Amy Lynne Brooks, MSN, APRN, FNP-C
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Makaila Ann Brown, NURSE
• Karisa Corley Burke, M.ED., M.A., LPC
• John Allan Burnett, MD

• Clinical Psychologist in Crockett, TX
• Providers in Crockett, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.