Individual provider Active NPI

Brent Hughey, PHD

  • Clinical Neuropsychologist
  • Pleasanton, CA
National Provider Identifier
1477607968
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY137030 Issued in CA
Practice address
7901 Stoneridge Dr
521
Pleasanton, CA 94588-3677
Phone
(925) 469-1989
Fax
(925) 426-2328
NPI assigned
Jan 22, 2007
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY137030 CA Primary

Addresses

Primary practice location

7901 Stoneridge Dr
521
Pleasanton, CA 94588-3677

Mailing address

7901 Stoneridge Dr
Ste 110
Pleasanton, CA 94588-3677
Phone (925) 469-1989

Other identifiers 1

IdentifierTypeStateIssuer
PSY137030OtherCASTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
PSY137030CAMDClinical Neuropsychologist
13703CAMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1477607968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 STONERIDGE DR",
            "address_2": "STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883677",
            "telephone_number": "925-469-1989",
            "fax_number": "925-426-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 STONERIDGE DR",
            "address_2": "521",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883677",
            "telephone_number": "925-469-1989",
            "fax_number": "925-426-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHEY",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY137030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY137030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.