Andrea L Brandon Menefee, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

20042619A Issued in IN

Practice address

270 E 90TH Dr
Merrillville, IN 46410-8102

Phone

(219) 779-7339

Fax

(219) 979-5149

NPI assigned

Mar 28, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Andrea L Brandon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396864757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 EAST 90TH DRIVE",
            "address_2": "OFFICE NUMBER 223",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108102",
            "telephone_number": "219-779-7339",
            "fax_number": "219-226-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 90TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108102",
            "telephone_number": "219-779-7339",
            "fax_number": "219-979-5149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17644 Morse St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "IN",
            "postal_code": "463561420",
            "country_code": "US",
            "telephone_number": "219-696-2859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON MENEFEE",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042619A",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20042619A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BRANDON",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexis Bozinovich
• BPW (PBW)
• Bonnie Brabson
• Braden Partners LP
• Nichelle Bradley
• Isabel Antoinette Bravo, DDS
• Larry R Brazley, MD
• Emilee Breidenbach
• Keith Brewer, DACM, L.AC.
• Susan L Breymeyer, LMHC

• Clinical Child & Adolescent Psychologist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Child & Adolescent Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.