Active NPI
Jessica L Brandon, CAGS
- School Psychologist
- Saint Bernard, OH
National Provider Identifier
1457692832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3126237
- Practice address
- 4615 Tower Ave
Saint Bernard, OH 45217-1724 - Phone
- (513) 482-7105
- Fax
- (513) 641-4878
- NPI assigned
- Mar 8, 2013
- Last updated
- Sep 19, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3126237 | OH | Primary |
Addresses
Primary practice location
4615 Tower Ave
Saint Bernard, OH 45217-1724
Mailing address
4615 Tower Ave
Saint Bernard, OH 45217-1724
Phone (513) 482-7105
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3126237 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1457692832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 TOWER AVE",
"city": "SAINT BERNARD",
"state": "OH",
"postal_code": "452171724",
"telephone_number": "513-482-7105",
"fax_number": "513-641-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 TOWER AVE",
"city": "SAINT BERNARD",
"state": "OH",
"postal_code": "452171724",
"telephone_number": "513-482-7105",
"fax_number": "513-641-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "JESSICA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "CAGS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "3126237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Bernard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.