Rhea Brandon, LEP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LEP 2801 Issued in CA

Practice address

4185 Blackhawk Plaza Cir
Suite 210
Danville, CA 94506-4694

Phone

(925) 648-4800

Fax

(925) 648-2530

NPI assigned

Sep 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Diablo Behavioral Healthcare

  dba dbh Blackhawk TMS Center

  • Child & Adolescent Psychiatry Physician
  • Danville, CA
  • NPI 1174743694

  School

  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1700072501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1613",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 BLACKHAWK PLAZA CIR",
            "address_2": "SUITE 210",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064694",
            "telephone_number": "925-648-4800",
            "fax_number": "925-648-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "RHEA",
        "credential": "LEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP 2801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LEP 2801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Boghossian, D.O.
• Frank Elizarde Bongolan Jr., DC
• Keith Bonnes, PSYD
• Nicole Bosch, SLP
• Chelsea Taber Bowman, M.D.
• Monica Kaur Brar, M.D.
• Susan B. Bray, PH.D.
• Dwan Brennan, MFT
• Karen Faith Bresnahan, P.T.
• Kaitlin Elizabeth Brickey, DPT

• School Psychologist in Danville, CA
• Providers in Danville, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.