Individual provider Active NPI

Beth E Brinsko, PH.D.

  • Psychologist
  • Florence, KY
National Provider Identifier
1780638338
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0833 Issued in KY
Practice address
75 Cavalier Blvd Ste 300
Florence, KY 41042-3950
Phone
(859) 283-2892
Fax
(859) 283-2897
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0833 KY Primary

Addresses

Primary practice location

75 Cavalier Blvd Ste 300
Florence, KY 41042-3950

Mailing address

75 Cavalier Blvd Ste 300
Florence, KY 41042-3950
Phone (859) 283-2892

Other identifiers 3

IdentifierTypeStateIssuer
089418000OtherMAGELLAN MIS
22000000019998OtherKYANTHEM PROV. NUMBER
1467OtherALLIANCE BEHAVIORAL CARE

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
0833KYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1780638338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CAVALIER BLVD STE 300",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423950",
            "telephone_number": "859-283-2892",
            "fax_number": "859-283-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CAVALIER BLVD STE 300",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423950",
            "telephone_number": "859-283-2892",
            "fax_number": "859-283-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSKO",
        "first_name": "BETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "0833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS",
            "identifier": "089418000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV. NUMBER",
            "identifier": "22000000019998",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE BEHAVIORAL CARE",
            "identifier": "1467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.