Active NPI
Herbert Allen Brenden, EDD LP
- Clinical Psychologist
- Golden Valley, MN
National Provider Identifier
1679679633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1200
- Practice address
- 8085 Wayzata Blvd
Suite 101 Bhsi LLC
Golden Valley, MN 55426-1456 - Phone
- (651) 769-6300
- Fax
- (651) 769-6349
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP1200 | MN | Primary |
Addresses
Primary practice location
8085 Wayzata Blvd
Suite 101 Bhsi LLC
Golden Valley, MN 55426-1456
Mailing address
2497 7TH Ave E
Suite 101 Bhsi LLC
North Saint Paul, MN 55109-2496
Phone (651) 769-6437
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 |
|---|---|---|---|
| LP1200 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhsi, LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- North Saint Paul, MN
- NPI 1174635643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679679633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2497 7TH AVE E",
"address_2": "SUITE 101 BHSI LLC",
"city": "NORTH SAINT PAUL",
"state": "MN",
"postal_code": "551092496",
"telephone_number": "651-769-6437",
"fax_number": "651-769-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8085 WAYZATA BLVD",
"address_2": "SUITE 101 BHSI LLC",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261456",
"telephone_number": "651-769-6300",
"fax_number": "651-769-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENDEN",
"first_name": "HERBERT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "EDD LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
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.