Kimberly Ann Brenninkmeyer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04795 Issued in MD

Practice address

1414 Key Hwy
Ste 300M
Baltimore, MD 21230-5142

Phone

(443) 834-3060

NPI assigned

Apr 30, 2011

Sex

Female

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 MD

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, 2006

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

Practice roles

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.

• Harbor Counseling LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1609160126
  NPD (past)

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1326339953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 KEY HWY",
            "address_2": "STE 300M",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305142",
            "telephone_number": "443-834-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 KEY HWY",
            "address_2": "STE 300M",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305142",
            "telephone_number": "443-834-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNINKMEYER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancyellen Brennan, C.R.N.P.
• Cecilia Margaret Brennecke, M.D.
• Mary Brenneman, LCSW-C
• Chaya Brenner
• Joel I Brenner, M.D.
• James L Bresette, PHARM.D.
• Irine Breslaw, PA
• Nicholas Breslin-Spinnato, MLS(ASCP)
• Kristen Breslin, MD
• Robert Jeffrey Breslin, M.D.

• Clinical Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.