Individual provider Active NPI

Julie A Brennan, PHD

  • Clinical Psychologist
  • Toledo, OH
National Provider Identifier
1649327396
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.6307 Issued in OH
Practice address
3333 Glendale Ave
Toledo, OH 43614-2426
Phone
(419) 383-5555
Fax
(419) 383-3113
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X P6307 OH
Clinical Psychologist 103TC0700X P.6307 OH Primary

Addresses

Primary practice location

3333 Glendale Ave
Toledo, OH 43614-2426

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other practice location 1

6005 Monclova Rd
Maumee, OH 43537-1864
Phone (419) 383-5533

Other identifiers 1

IdentifierTypeStateIssuer
2764263MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • 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
I20070504000316 OH Practitioner - Clinical Psychologist 5395841506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6307OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Clinical CurrentSince Jul 1, 2014 Accepting new patients

Locations

L4189
Columbus, OH 43260

6005 Monclova Rd
Maumee, OH 43537
Phone (419) 383-5555

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

3333 Glendale Ave
Toledo, OH 43614
Phone (419) 259-2000

1015 Garden Lake Pkwy
Toledo, OH 43614
Phone (419) 381-0037

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1649327396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-5555",
            "fax_number": "419-383-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Monclova Rd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371864",
            "country_code": "US",
            "telephone_number": "419-383-5533",
            "fax_number": "419-893-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "P6307",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.6307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.