Angela Marie Breitmeyer, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4280 Issued in AZ

Practice address

19389 N 59TH Ave
Midwestern Multispecialty Clinic -- Clinical Psychology
Glendale, AZ 85308-6500

Phone

(623) 537-6250

Fax

(623) 537-6251

NPI assigned

Jun 13, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1588926661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19389 N 59TH AVE",
            "address_2": "MIDWESTERN MULTISPECIALTY CLINIC -- CLINICAL PSYCHOLOGY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086500",
            "telephone_number": "623-537-6250",
            "fax_number": "623-537-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19389 N 59TH AVE",
            "address_2": "MIDWESTERN MULTISPECIALTY CLINIC -- CLINICAL PSYCHOLOGY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086500",
            "telephone_number": "623-537-6250",
            "fax_number": "623-537-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITMEYER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4280",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig F Brechler, MS, PT
• Marcella Marie Brechler, DC
• Ashley Breed, DNP, FNP-BC
• Breezy Mendoza NP LLC
• Patricia Ann Bregar, RN BSN
• Jan H Brekke, MD
• Abigail Breland
• Kylee Juleene Brennan, PA-C
• Selena Maree Brennan, ATC
• Brent P Hansen DO PC

• Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.