Active NPI
Brenda Jean Payne, PH.D.
- Prescribing (Medical) Psychologist
- Iowa City, IA
National Provider Identifier
1710916374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- CPC0002
- Practice address
- 373 Scott CT Ste a
Iowa City, IA 52245-3904 - Phone
- (319) 338-9960
- Fax
- (319) 338-9492
- NPI assigned
- Jul 3, 2006
- Last updated
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00854 | IA | |
| Prescribing (Medical) Psychologist | 103TP0016X | CPC0002 | IA | Primary |
Addresses
Primary practice location
373 Scott CT Ste a
Iowa City, IA 52245-3904
Mailing address
373 Scott CT Ste a
Iowa City, IA 52245-3904
Phone (319) 338-9960
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00854 | IA | MD | Clinical Psychologist |
| CPC0002 | IA | MD | Prescribing (Medical) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevention Systems, Inc. | Past | Accepting new patients | |
| Gersh, Hartson, Payne & Associates, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Iowa City, IA
- NPI 1558704957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1710916374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 SCOTT CT STE A",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522453904",
"telephone_number": "319-338-9960",
"fax_number": "319-338-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 SCOTT CT STE A",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522453904",
"telephone_number": "319-338-9960",
"fax_number": "319-338-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "BRENDA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00854",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "IA",
"license": "CPC0002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.