Active NPI
Brieanne Scott
- Counseling Psychologist
- Concord, CA
National Provider Identifier
1700403417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 1333 Willow Pass Rd Ste 102
Concord, CA 94520-5225 - Phone
- (925) 825-1793
- NPI assigned
- Jun 29, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Counseling Psychologist | 103TC1900X | Primary | ||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
1333 Willow Pass Rd Ste 102
Concord, CA 94520-5225
Mailing address
1333 Willow Pass Rd Ste 102
Concord, CA 94520-5225
Phone (925) 825-1793
Other practice location 1
749 37th Ave
Santa Cruz, CA 95062-5124
Phone (844) 322-7483
Other practice location 2
23701 E East Fork Rd
Azusa, CA 91702-1477
Phone (626) 250-3290
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1700403417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 WILLOW PASS RD STE 102",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205225",
"telephone_number": "925-825-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 WILLOW PASS RD STE 102",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205225",
"telephone_number": "925-825-1793"
}
],
"practiceLocations": [
{
"address_1": "749 37th Ave",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950625124",
"country_code": "US",
"telephone_number": "844-322-7483",
"fax_number": "888-344-7021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23701 E East Fork Rd",
"address_purpose": "LOCATION",
"city": "Azusa",
"state": "CA",
"postal_code": "917021477",
"country_code": "US",
"telephone_number": "626-250-3290",
"fax_number": "626-910-1380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "BRIEANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.