Individual provider Active NPI

Jamie Brenner, PSY.D.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1437484037
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00004526 Issued in CO
Practice address
899 N Logan St Ste 406
Denver, CO 80203-3155
Phone
(720) 466-8535
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00004526 CO Primary

Addresses

Primary practice location

899 N Logan St Ste 406
Denver, CO 80203-3155

Mailing address

899 N Logan St Ste 406
Denver, CO 80203-3155
Phone (720) 466-8535

Other practice location 1

4141 E Dickenson Pl
Denver, CO 80222-6012
Phone (303) 504-6500

Other practice location 2

3301 East 12th Street
Suite 259
Oakland, CA 94601
Phone (510) 295-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00004526COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437484037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N LOGAN ST STE 406",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033155",
            "telephone_number": "720-466-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N LOGAN ST STE 406",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033155",
            "telephone_number": "720-466-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 E Dickenson Pl",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802226012",
            "country_code": "US",
            "telephone_number": "303-504-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 East 12th Street",
            "address_2": "Suite 259",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94601",
            "country_code": "US",
            "telephone_number": "510-295-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "00004526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.