Active NPI
Gail F. Brenner, PH.D.
- Psychologist
- Santa Barbara, CA
National Provider Identifier
1376690404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY12577
- Practice address
- 22 W Micheltorena St
Suite B
Santa Barbara, CA 93101-6522 - Phone
- (805) 570-9765
- Fax
- (805) 963-4922
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12577 | CA | Primary |
Addresses
Primary practice location
22 W Micheltorena St
Suite B
Santa Barbara, CA 93101-6522
Mailing address
PO Box 90658
Santa Barbara, CA 93190-0658
Phone (805) 570-9765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY125770 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12577 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1376690404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90658",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931900658",
"telephone_number": "805-570-9765",
"fax_number": "805-963-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 W MICHELTORENA ST",
"address_2": "SUITE B",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931016522",
"telephone_number": "805-570-9765",
"fax_number": "805-963-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "GAIL",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY12577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY125770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.