Brenna Fox Pmhnp-LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRENNA FOX PMHNP-LLC

Practice address

21 Linwood Ave
Williamsville, NY 14221-6501

Phone

(716) 626-9016

NPI assigned

Jan 31, 2020

Last updated

Jan 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenna E Fox, PMHNP-BC

Title

Pmhnp-BC

Phone

(716) 545-8161

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1477184133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNA FOX PMHNP-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "716-545-8161",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.williamsvillewellness.org/",
            "affiliation": "N",
            "address_1": "21 Linwood Ave",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142216501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breast Care of Western New York L.L.C.
• Ashley Teresa Breau
• Amanda Ingersoll Breedlove, PT, DPT
• Crystal Breier, FNP
• Brenna Fox Pmhnp-BC, LLC
• Amanda Brennan, LMHC-P CASAC
• Jennifer Brennan, PT
• Lisa C Brennan, FNP
• Samantha Brennan
• Sue Ann Brennan

• Mental Health Clinic/Center (Including Community Mental Health Center) in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.