Active NPI
Courtney Elizabeth Breiner, PHD
- Clinical Psychologist
- Troy, NY
National Provider Identifier
1396534616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 027175
- Practice address
- 18 Myrtle Ave
Troy, NY 12180-5132 - Phone
- (518) 376-2543
- NPI assigned
- May 2, 2025
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 027175 | NY | Primary |
Addresses
Primary practice location
18 Myrtle Ave
Troy, NY 12180-5132
Mailing address
18 Myrtle Ave
Troy, NY 12180-5132
Phone (518) 376-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251110002524 | GA | Order and Referring Only - Other (Non-Physician) | 6103316815 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027175 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1396534616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MYRTLE AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121805132",
"telephone_number": "518-376-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MYRTLE AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121805132",
"telephone_number": "518-376-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREINER",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "027175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.