Benedetto Giuseppe Forrest Brunetto, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30812 Issued in CA

Practice address

451 Riverview Pkwy
Santee, CA 92071-5829

Phone

(619) 258-3089

Fax

(619) 258-3203

NPI assigned

Aug 23, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ben Giuseppe Forrest Brunetto Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1396093340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215201",
            "telephone_number": "619-579-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RIVERVIEW PKWY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715829",
            "telephone_number": "619-258-3089",
            "fax_number": "619-258-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTO",
        "first_name": "BENEDETTO",
        "middle_name": "GIUSEPPE FORREST",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-23",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "BRUNETTO",
            "middle_name": "GIUSEPPE FORREST",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kyle Brown, RN
• Michael Hubbard Brown, DDS
• Nicole Brown, DPT
• Rhad Brown, MPT
• Tanya Toshiko Brown, RN
• Reagan Buckner-Falduti, ATC
• Kelly Buffo, H.H.P.
• Anna Therese Pascual Bugarin
• Phi Hao Bui, PHARMD
• Casey L Buonaugurio, LVN

• Clinical Psychologist in Santee, CA
• Providers in Santee, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.