Active NPI
Brittany Nicole Czech, ED.S
- School Psychologist
- Surprise, AZ
National Provider Identifier
1366180895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4786533
- Practice address
- 15940 N 171St Dr
Surprise, AZ 85388-0204 - Phone
- (630) 346-2950
- NPI assigned
- May 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4786533 | AZ | Primary |
Addresses
Primary practice location
15940 N 171St Dr
Surprise, AZ 85388-0204
Mailing address
15940 N 171St Dr
Surprise, AZ 85388-0204
Phone (630) 346-2950
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4786533 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1366180895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15940 N 171ST DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853880204",
"telephone_number": "630-346-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15940 N 171ST DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853880204",
"telephone_number": "630-346-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZECH",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4786533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.