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

Last updated

Jan 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

State licenses

Practice roles

Locations

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

• Cattaraugus Rehabilitation Center, Inc.

  • Developmental Disabilities Clinic/Center
  • Olean, NY
  • NPI 1316132533
  Medicare reassignment NPD

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

{
    "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 (UPC Community Pharmacy-Olean)
• Southern Tier Community Health Center Network, Inc. (Universal Primary Care)
• Southern Tier Obstetrics & Gynecology PC

• Psychologist in Olean, NY
• Providers in Olean, NY by specialty
• 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.