Brittany Kohlberger, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY29036 Issued in CA

Practice address

850 Merchant St Ste a
Vacaville, CA 95688-6900

Phone

(707) 446-8600

Fax

(707) 446-8100

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Wayne State University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Change Counseling Services, a Professional Corporation of MarGroup PAC ID 0042663924, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Positive Change Counseling Services, a Professional Corporation of Mar

  • Marriage & Family Therapist
  • Vacaville, CA
  • NPI 1457668592
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1447681473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PEABODY RD STE 300",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MERCHANT ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956886900",
            "telephone_number": "707-446-8600",
            "fax_number": "707-446-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLBERGER",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY29036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbe Knoller, LCSW
• Sandra Albertia Knowles
• Knych Chiropractic Corp
• John F Knych, D.C.
• Haeja Koh
• Josette Gregorz Kohn, MD
• Ellen R. Kolarik, MD
• Debra Konecni, CLINICAL INTERN
• Kathleen Joan Kopecko, O.D.
• Jamie Lynn Kordick, PSY.D.

• Clinical Child & Adolescent Psychologist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.