Brent Decker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5989 Issued in FL

Practice address

11 W 23Rd St BLDG D1
Panama City, FL 32405-4553

Phone

(850) 522-9456

Fax

(850) 522-9094

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Brent Decker, PH.D., PA

  • Clinical Psychologist
  • Panama City, FL
  • NPI 1932485141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1427069251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 23RD ST BLDG D1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054553",
            "telephone_number": "850-522-9456",
            "fax_number": "850-522-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 23RD ST BLDG D1",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054553",
            "telephone_number": "850-522-9456",
            "fax_number": "850-522-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "BRENT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "54477",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel G Deana, MD
• Tracy A Deaton, PA
• Deborah Simonds LLC
• Victoria Debrito, RBT
• Andrew Michael Dec, D.O.
• Maria Paula Del Carlo, LMHC
• Daniel Delgado, MD
• Delta Health Group Inc (Panama City Nursing Center)
• Tricia Lynn Deluna
• Jonathan Curtis Deneau, APRN

• Clinical Psychologist in Panama City, FL
• Providers in Panama City, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.