Shannon Branlund, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1850 Issued in AL

Practice address

361 Isrg BLDG #90760
Room #106
Hurlburt Field, FL 32544

Phone

(850) 884-1348

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1467762187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 ZEMKE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215023",
            "telephone_number": "813-827-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 ISRG BLDG #90760",
            "address_2": "ROOM #106",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "32544",
            "telephone_number": "850-884-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANLUND",
        "first_name": "SHANNON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1850",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Bishop, MD
• Nicole Marie Blair, MD
• Michelle Bongiovi, DMD
• Joanna Borawski, D.P.T.
• Wendy S Born, CNP
• Kerry Redding Brantly, D.D.S.
• Kelly Brittany Brooks Borrero, MS, RDN, LDN, CNSC
• Maranda Gabrielle Brown, ATC
• Lewis Bruneel, OD
• Micah Bucy, M.D.

• Clinical Psychologist in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.