Avrene Laura Brandt, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS002319L Issued in PA

Practice address

1230 Valley of LKS
Hazleton, PA 18202-9284

Phone

(570) 384-0747

Fax

(570) 384-0747

NPI assigned

Nov 30, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Family Practice & Counseling Services Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1689357782
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619951951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4255",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190637255",
            "telephone_number": "570-384-0747",
            "fax_number": "570-384-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 VALLEY OF LKS",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029284",
            "telephone_number": "570-384-0747",
            "fax_number": "570-384-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "AVRENE",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002319L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI003348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bohach, M.S.
• Janice Mary Bonner, LPC
• Theresa Ann Boyle, LSW
• Christina M Bradford, CRNP
• Jeremy Alan Bragalone, LSW
• Gerald A Brazzo, DMD
• John Brennan, MD
• Daniel John Breznak, PHARMD.
• Jason Clair Brown, D.O.
• Harry Bruley

• Clinical Psychologist in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.