Active NPI
Breffni Barrett, PHD
- Psychologist
- San Diego, CA
National Provider Identifier
1457400483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY4516
- Practice address
- 3225 Fourth Avenue
San Diego, CA 92103-5701 - Phone
- (619) 297-7181
- Fax
- (619) 297-9401
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY4516 | CA | Primary |
Addresses
Primary practice location
3225 Fourth Avenue
San Diego, CA 92103-5701
Mailing address
3225 Fourth Avenue
San Diego, CA 92103-5701
Phone (619) 297-7181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00PL45160 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1457400483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 FOURTH AVENUE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035701",
"telephone_number": "619-297-7181",
"fax_number": "619-297-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 FOURTH AVENUE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035701",
"telephone_number": "619-297-7181",
"fax_number": "619-297-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "BREFFNI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY4516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00PL45160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.