Sandra J Brim, Psychology, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SANDRA J BRIM, PSYCHOLOGY, P.C.

Practice address

321 Roosevelt Ave
Loveland, CO 80537

Phone

(424) 355-3697

Fax

(970) 966-8905

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Sandra J Brim, PH.DNPI 1295802189

Title

Owner

Phone

(424) 355-3697

Specialties & licenses 1

Addresses

Other names 1

• Sandra J. Brim Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Jeanne Brim, PH.D.

  • Psychologist
  • Loveland, CO
  • NPI 1295802189

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1679189377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ROOSEVELT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80537",
            "telephone_number": "424-355-3697",
            "fax_number": "970-966-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROOSEVELT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80537",
            "telephone_number": "424-355-3697",
            "fax_number": "970-966-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA J BRIM, PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BRIM",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-355-3697",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra J. Brim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Erin N Sanfeliz, RD, CNSC
• Lawrence John Santomaso, RPH
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• Clinical Psychologist in Loveland, CO
• Providers in Loveland, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.