Allison L Broennimann, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1939 Divisadero St
Suite 1-C
San Francisco, CA 94115-2507

Phone

(888) 667-4828

Fax

(855) 748-9025

NPI assigned

Sep 15, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Alameda Neuropsych, Inc.

  • Clinical Neuropsychologist
  • Alameda, CA
  • NPI 1366725764
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1427366210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2451",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949482451",
            "telephone_number": "888-667-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 DIVISADERO ST",
            "address_2": "SUITE 1-C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152507",
            "telephone_number": "888-667-4828",
            "fax_number": "855-748-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROENNIMANN",
        "first_name": "ALLISON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PSYCHOLOGY",
            "identifier": "PSY24463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Valor Brodt, PHARM.D.
• Helen C Brody, M.S.
• Mayany Guon Brody
• Rachel Amber Brody, LCSW
• Robert Brody
• Jeanette Marie Broering, RN, PHD, MPH
• Lauren Broestl, MD, PHD
• Lisa Broggi, LMFT
• Jennifer Jean Brokaw, MD
• Gloria Bromberg-Ali, MFT

• Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.