Active NPI
Brandyn Eugene Bettencourt, MA, PPSC
- School Psychologist
- San Jose, CA
National Provider Identifier
1376414144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 240120116
- Practice address
- 3411 Rocky Mountain Dr
San Jose, CA 95127-4853 - Phone
- (408) 258-7288
- Fax
- (408) 272-9646
- NPI assigned
- Sep 15, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 240120116 | CA | Primary |
Addresses
Primary practice location
3411 Rocky Mountain Dr
San Jose, CA 95127-4853
Mailing address
15425 Oak Glen Ave
Morgan Hill, CA 95037-8802
Phone (408) 258-7288
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240120116 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1376414144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15425 OAK GLEN AVE",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950378802",
"telephone_number": "408-258-7288",
"fax_number": "408-272-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 ROCKY MOUNTAIN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951274853",
"telephone_number": "408-258-7288",
"fax_number": "408-272-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTENCOURT",
"first_name": "BRANDYN",
"middle_name": "EUGENE",
"credential": "MA, PPSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-15",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "240120116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.