Brian South, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

023619 Issued in NY

Practice address

1439 Buffalo St
Olean, NY 14760-1140

Phone

(716) 375-4747

NPI assigned

Jan 14, 2020

Sex

Male

Sole proprietor

No

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.

• Cattaraugus Rehabilitation Center, Inc.

  • Developmental Disabilities Clinic/Center
  • Olean, NY
  • NPI 1316132533

  NY

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2020.

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1801436258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LAUREL DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011511",
            "telephone_number": "814-598-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 BUFFALO ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601140",
            "telephone_number": "716-375-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Louise Snow, PA-C
• Jin Hwa Song, M.D.
• Neeta Soni, MD
• Rebekah Sorensen, PA
• Allison Sortore
• Southern Tier Anesthesiologists PC
• Southern Tier Arthritis & Rheumatism PC
• Southern Tier Community Health Center Network Inc
• Southern Tier Community Health Center Network, Inc.
• Southern Tier Obstetrics & Gynecology PC

• All providers in Olean, NY
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.