Britani Bertrand, DR.

Key facts

NPI

1639727845

Entity type

Individual (NPI type 1)

Primary specialty

Psychologist 103T00000X

Practice address

6301 Gaston Ave Ste 610
Dallas, TX 75214-6289

Phone

(214) 531-7624

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Lone Star Psychology Clinical Psychologist · Buna, TX · NPI 1760203889
  Medicare reassignment NPD TX
• Newpath Group Professional Counselor · Lumberton, TX · NPI 1992126254
  Medicare reassignment NPD PSYCHOLOGIST · TX

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2019.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1639727845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146289",
            "telephone_number": "214-531-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "BRITANI",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

• Bertha Ezenagu
• Paul Domenic Bertodatto, CRNA
• Emilee J Bertoldi, APRN-C
• Alison Hayley Bertran, PT, DPT
• Cheryl Lynne Bertran, CRNA
• John Bertrand, M.D.
• Kyndall Paige Bertrand
• Bryan Bertsch, PT
• Adriana Beruvides
• Bes-Quality Care Home Healthcare Services Inc

All providers in Dallas, TX · Psychologist in Texas