Individual provider Active NPI

Brie Pileggi, PSY.D., LP, ABPP

  • Forensic Psychologist
  • Burnsville, MN
National Provider Identifier
1306479316
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
6345 Issued in MN
Practice address
413 Brandywine Dr
Burnsville, MN 55337-4023
Phone
(612) 387-3678
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 6345 MN Primary

Addresses

Primary practice location

413 Brandywine Dr
Burnsville, MN 55337-4023

Mailing address

413 Brandywine Dr
Burnsville, MN 55337-4023
Phone (612) 387-3678

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1306479316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BRANDYWINE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374023",
            "telephone_number": "612-387-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BRANDYWINE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374023",
            "telephone_number": "612-387-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILEGGI",
        "first_name": "BRIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP, ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "6345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.