Active NPI
Emily K Brennan, MS, LLP
- Clinical Psychologist
- Saline, MI
National Provider Identifier
1649845843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6361007777
- Practice address
- 194 S Industrial Dr
Saline, MI 48176-9175 - Phone
- (734) 944-3446
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 21260020901 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | IN | ||
| Clinical Psychologist | 103TC0700X | 6361007777 | MI | Primary |
Addresses
Primary practice location
194 S Industrial Dr
Saline, MI 48176-9175
Mailing address
194 S Industrial Dr
Saline, MI 48176-9175
Phone (734) 944-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007777 | MI | MD | Clinical Psychologist |
| 21260020901 | MI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1649845843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 S INDUSTRIAL DR",
"city": "SALINE",
"state": "MI",
"postal_code": "481769175",
"telephone_number": "734-944-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 S INDUSTRIAL DR",
"city": "SALINE",
"state": "MI",
"postal_code": "481769175",
"telephone_number": "734-944-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "EMILY",
"middle_name": "K",
"credential": "MS, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "21260020901",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6361007777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.