Individual provider Active NPI

Debra N Brosius, PSY.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1588989404
Registry record updated Apr 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7801 Issued in FL
Practice address
2 Columbia Dr
Tampa, FL 33606-3683
Phone
(813) 844-4663
NPI assigned
Apr 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7801 FL Primary

Addresses

Primary practice location

2 Columbia Dr
Tampa, FL 33606-3683

Mailing address

2 Columbia Dr
Tampa, FL 33606-3683
Phone (813) 844-4663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7801FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychology Associates of McLean, LLC Current Accepting new patients

Locations

6845 Elm St
Ste 507
McLean, VA 22101
Phone (571) 282-8254

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270252800000",
    "number": "1588989404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063683",
            "telephone_number": "813-844-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063683",
            "telephone_number": "813-844-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIUS",
        "first_name": "DEBRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.