Active NPI
Anne B Brodzinsky, PH.D
- Psychologist
- Piedmont, CA
National Provider Identifier
1376740530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21157
- Practice address
- 129 Calvert CT
Piedmont, CA 94611-3437 - Phone
- (510) 985-1773
- Fax
- (510) 985-1812
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 21157 | CA | Primary |
Addresses
Primary practice location
129 Calvert CT
Piedmont, CA 94611-3437
Mailing address
129 Calvert CT
Piedmont, CA 94611-3437
Phone (510) 985-1773
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 |
|---|---|---|---|
| 21157 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376740530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 CALVERT CT",
"city": "PIEDMONT",
"state": "CA",
"postal_code": "946113437",
"telephone_number": "510-985-1773",
"fax_number": "510-985-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 CALVERT CT",
"city": "PIEDMONT",
"state": "CA",
"postal_code": "946113437",
"telephone_number": "510-985-1773",
"fax_number": "510-985-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODZINSKY",
"first_name": "ANNE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "21157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piedmont, CA
- Biometric Innovative Options Physical Therapy, Inc.
- Michele Marjorie Bloomer, M.D.
- Annie Tran Bozkurt, D.C.
- Katrin Renate Braune-Krickau, PHD
- Yolanda Evangaline Braxton, PSYD
- Susannette Burroughs, M.S. ED., BCMTB
- Janet Huldah Cannon, LCSW
- Capitol Business Development Inc
- Kristen Marie Carey, PSYD
- Amanda Carlson
Sources for this page
- 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.