Christine R Brendle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006849 Issued in VA

Practice address

300 N Washington St Ste 607
Alexandria, VA 22314-2544

Phone

(719) 650-9443

NPI assigned

Oct 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Nationwide Children'S Hospital

  • Dental Clinic/Center
  • Columbus, OH
  • NPI 1407013964
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1780134395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 HARRINGTON FALLS LN UNIT E",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223124075",
            "telephone_number": "719-650-9443",
            "fax_number": "614-355-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 607",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142544",
            "telephone_number": "719-650-9443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Perimeter Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173247",
            "country_code": "US",
            "telephone_number": "614-355-9580",
            "fax_number": "614-355-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENDLE",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "christinebrendlephd.com",
            "affiliation": "N",
            "address_1": "300 N Washington St Ste 607",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223142544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dayana Bray, R.D, L.D
• Lauren E Bray, PT, DPT
• Susan Daley Bray, REGISTERED NURSE
• Amanda Breed
• Bren-X Auditory Solutions LLC
• Irina Fox Brennan, MD, PHD
• Lauretta Brennan, PH.D.
• Jeffrey Brentley
• Corinne Breskovich
• Erika Kappes Bressette, DO

• Clinical Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.