Active NPI
Stephanie Brazier, MA, MA, PSY.D.
- Clinical Psychologist
- Hanford, CA
National Provider Identifier
1710397484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24407
- Practice address
- 240 N 12TH Ave
Suite 109, #162
Hanford, CA 93230-5995 - Phone
- (111) 111-1111
- NPI assigned
- May 5, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24407 | CA | Primary |
Addresses
Primary practice location
240 N 12TH Ave
Suite 109, #162
Hanford, CA 93230-5995
Mailing address
240 N 12TH Ave
Suite 109, #162
Hanford, CA 93230-5995
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24407 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1710397484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N 12TH AVE",
"address_2": "SUITE 109, #162",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N 12TH AVE",
"address_2": "SUITE 109, #162",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305995",
"telephone_number": "111-111-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZIER",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "MA, MA, PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.