Individual provider Active NPI

Brenda Jean Payne, PH.D.

  • Prescribing (Medical) Psychologist
  • Iowa City, IA
National Provider Identifier
1710916374
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
CPC0002 Issued in IA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
00854IAMDClinical Psychologist
CPC0002IAMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prevention Systems, Inc. PastSince Dec 21, 2021 Accepting new patients
Gersh, Hartson, Payne & Associates, PC PastSince Dec 21, 2021 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.

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.

Verify at the official NPI Registry.