Brenda Jean Paluc, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3618 Issued in AZ

Practice address

3400 N Dysart Rd
#117
Avondale, AZ 85392-1003

Phone

(623) 535-7956

Fax

(623) 536-9806

NPI assigned

Jun 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Desert Sage Health PLLC

  • Psychologist
  • Goodyear, AZ
  • NPI 1891201521
  NPD

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1396127197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD",
            "address_2": "#117",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921003",
            "telephone_number": "623-535-7956",
            "fax_number": "623-536-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N DYSART RD",
            "address_2": "#117",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921003",
            "telephone_number": "623-535-7956",
            "fax_number": "623-536-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUC",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.