Individual provider Active NPI

Brittany Nicole Peters Paul, PHD

  • Clinical Neuropsychologist
  • Nashville, TN
National Provider Identifier
1629525654
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3562 Issued in TN
Practice address
2200 21St Ave S Ste 300
Nashville, TN 37212-4929
Phone
(615) 933-3571
Fax
(844) 270-1951
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3562 TN Primary
Clinical Neuropsychologist 103G00000X 6301017219 MI

Addresses

Primary practice location

2200 21St Ave S Ste 300
Nashville, TN 37212-4929

Mailing address

2200 21St Ave S Ste 300
Nashville, TN 37212-4929

Other practice location 1

1 Ford Pl Ste 1E
Detroit, MI 48202-3450
Phone (313) 874-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414001332 MI Practitioner - Clinical Psychologist 3476077207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301017219MIMDClinical Neuropsychologist
3562TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Clinical Neuropsychologist CurrentSince Apr 1, 2025 Accepting new patients
Henry Ford Health System CurrentSince Apr 1, 2025 Accepting new patients
Jacqueline Klaver PHD, PLLC Clinical Neuropsychologist PastSince Jul 24, 2022 Accepting new patients
Specialists in Pediatric Neurology PLLC Past Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1 Ford Pl
Ste 1E
Detroit, MI 48202
Phone (313) 874-6677

Interoperability endpoints

  • Direct secure messaging: bpeterspaul1163114@direct.hfhs.org

Organizations & group practices 6

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1629525654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929",
            "telephone_number": "615-933-3571",
            "fax_number": "844-270-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ford Pl Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023450",
            "country_code": "US",
            "telephone_number": "313-874-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE PETERS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "3562",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301017219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.