Brenda Elizabeth Carrillo, M.S. ED., CAGS, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

4510 N 37TH Ave
Phoenix, AZ 85019-3206

Phone

(602) 336-2990

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• County of Maricopa

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1093938441
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356487698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 S 22ND LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850417741",
            "telephone_number": "602-276-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 N 37TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850193206",
            "telephone_number": "602-336-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "BRENDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S. ED., CAGS, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carriker Eye Center, PC
• Mary Kathleen Carriker, M.D.
• Geraldine Carrillo Davila
• Janet Carrillo Funk
• Natalie Carrillo Galaviz
• Christine Clare Carrillo, LPC
• Felix B Carrillo, PT, DPT
• Lori A Carrillo, M.D.
• Martha Carrillo, PH.D., F NP-C
• Monica G Carrillo, SLPA

• School Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• School Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.