NPIMap

Organization Active NPI

Adrianne M Brennan PHD

  • Clinical Child & Adolescent Psychologist
  • Saint Rose, LA
National Provider Identifier
1750928693
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
ADRIANNE M BRENNAN PHD
Practice address
110 James Dr W
Saint Rose, LA 70087-4027
Phone
(504) 833-6730
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Nicole Myrick
Title
Billing Specialist
Phone
(504) 833-6730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

110 James Dr W
Saint Rose, LA 70087-4027

Mailing address

110 James Dr W
Saint Rose, LA 70087-4027
Phone (504) 833-6730

National Provider Directory

National Provider Directory

Locations

433 Metairie Rd
Ste 106
Metairie, LA 70005
Phone (504) 835-5007

433 Metairie Rd
Ste 515
Metairie, LA 70005
Phone (504) 833-6730

433 Metairie Rd
Ste 615
Metairie, LA 70005
Phone (504) 833-6730

4401 N I 10 Service Rd W
Ste 200
Metairie, LA 70006

7039 Canal Blvd
New Orleans, LA 70124
Phone (504) 833-6730

110 James Dr W
Saint Rose, LA 70087
Phone (504) 833-6730

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1750928693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 JAMES DR W",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700874027",
            "telephone_number": "504-833-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JAMES DR W",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700874027",
            "telephone_number": "504-833-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIANNE M BRENNAN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "504-833-6730"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Rose, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.