Active NPI
Susan J. Brinkley, L.P.C.
- Psychologist
- Keller, TX
National Provider Identifier
1679611727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 14743
- Practice address
- 8724 Shadow Trace Dr
Keller, TX 76248-7969 - Phone
- (817) 281-2021
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 14743 | TX | Primary |
Addresses
Primary practice location
8724 Shadow Trace Dr
Keller, TX 76248-7969
Mailing address
8724 Shadow Trace Dr
Keller, TX 76248-7969
Phone (817) 281-2021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14743 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679611727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8724 SHADOW TRACE DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762487969",
"telephone_number": "817-281-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8724 SHADOW TRACE DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762487969",
"telephone_number": "817-281-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKLEY",
"first_name": "SUSAN",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "14743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.