Brianne Bettcher, PHD
Individual provider Active NPI Clinical Neuropsychologist · Aurora, CO
NPI 1336579366 · NPPES record last updated Jun 5, 2015
Key facts
- NPI
- 1336579366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- PSY25865 (CA)
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Nov 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Physicians Incorporated
Practice addresses (Care Compare)
13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Hospital & facility affiliations
- University of Colorado Hospital Authority
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20150806011427 | CO | Practitioner - Clinical Psychologist | 2365679347 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25865 | CA | MD | Clinical Neuropsychologist |
| 25865 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians, Incorporated | Current |
Accepting new patients | |
| University Physicians Incorporated | Current |
Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
1635 Aurora Ct
Fl 5
Aurora, CO 80045
Phone (720) 848-2300
1635 Aurora Ct
Fl 4
Aurora, CO 80045
Phone (720) 848-2000
3055 Roslyn St
Unit 120
Denver, CO 80238
Phone (303) 355-0363
Dept 1061
Denver, CO 80256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY25865 | CA | Yes |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
NPI Registry JSON
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1336579366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTCHER",
"first_name": "BRIANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY25865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
- Alan Best
- Bethany Best
- Beth Nehamah
- Bethany Bernard, LCSW, LLC
- Bethel Agency
- Megan Bettenhausen
- Better Care Agency LLC
- Better Care Agency LLC
- Better Home Care
- Better Life Homecare LLC
All providers in Aurora, CO · Clinical Neuropsychologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2015. 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.