Active NPI
Kerrianne Bresnan, Psy.D., LLC
- Clinical Neuropsychologist
- Fort Lauderdale, FL
National Provider Identifier
1366780553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY 7948
- Legal business name
- KERRIANNE BRESNAN, PSY.D., LLC
- Practice address
- 3471 N Federal Hwy Ste 508
Fort Lauderdale, FL 33306-1052 - Phone
- (954) 321-1980
- NPI assigned
- Jan 22, 2013
- Last updated
- Nov 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kerri Bresnan, PSY.D.
- Title
- Managing Member
- Phone
- (954) 321-1980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY 7948 | FL | Primary |
Addresses
Primary practice location
3471 N Federal Hwy Ste 508
Fort Lauderdale, FL 33306-1052
Mailing address
3471 N Federal Hwy Ste 508
Fort Lauderdale, FL 33306-1052
Phone (954) 321-1980
National Provider Directory
National Provider DirectoryLocations
5353 N Federal Hwy
Ste 208
Fort Lauderdale, FL 33308
Phone (954) 296-1048
5353 N Federal Hwy
Ste 404
Ft Lauderdale, FL 33308
Phone (954) 321-1980
400 NW 74th Ave
Plantation, FL 33317
Phone (954) 321-1980
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- South Miami, FL
- NPI 1336370501
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1871676262
-
- Clinical Neuropsychologist
- Plantation, FL
- NPI 1760528822
-
- Psychologist
- Pompano Beach, FL
- NPI 1295984656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604275200000",
"number": "1366780553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 N FEDERAL HWY STE 508",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061052",
"telephone_number": "954-321-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 N FEDERAL HWY STE 508",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061052",
"telephone_number": "954-321-1980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERRIANNE BRESNAN, PSY.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-22",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "BRESNAN",
"authorized_official_first_name": "KERRI",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "954-321-1980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY 7948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.