Breanne Cox, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024844-01 Issued in NY

Practice address

510 N Park Rd Ste 2
Wyomissing, PA 19610-2941

Phone

(484) 516-2330

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paragon Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Wyomissing, PA
  • NPI 1568975738

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1780120030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N PARK RD STE 2",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102941",
            "telephone_number": "484-516-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N PARK RD STE 2",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102941",
            "telephone_number": "484-516-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2666 W State St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601825",
            "country_code": "US",
            "telephone_number": "716-790-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "BREANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001579",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024844-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Corson
• Elizabeth Ann Cortorreal
• Susan Costa, LPC
• Counseling and Rehabilitation, Inc.
• Michele A Covelusky, LPN, NCBTMB
• Gary Milton Craighead, M.S
• Kelly Ann Cramner, LPC
• Scott J. Cronin, M.D.
• Kelley Crozier, MD
• Cynthia Yvette Cruz

• Psychologist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.