Allison Brazendale, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1319 Issued in SC

Practice address

1505 Blanding St
Columbia, SC 29201-2906

Phone

(954) 913-6306

NPI assigned

Jan 30, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2019.

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1629468491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 NW 96TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330761815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012906",
            "telephone_number": "954-913-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZENDALE",
        "first_name": "ALLISON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Brauning, MS,RD,CSSD
• Katie Brave
• Tora L Brawley, PH.D.
• Takarra Bray
• Mattie Kristen Brazell Julian, WHNP
• Rebekka Braziel
• Breakthrough Counseling & Consulting, LLC
• Breathe Columbia LLC
• Jonathan Leigh Breeden, PT, DPT, OCS
• Robert Joseph Breen, M.D.

• All providers in Columbia, SC
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.