Active NPI
Lauren Kittel Brickman, PSY.D.
- Clinical Psychologist
- Weston, FL
National Provider Identifier
1811179534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7547
- Practice address
- 713 Sunflower Cir
Weston, FL 33327-2114 - Phone
- (201) 681-2830
- NPI assigned
- Dec 4, 2007
- Last updated
- Dec 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017267 | NY | |
| Clinical Psychologist | 103TC0700X | PY7547 | FL | Primary |
Addresses
Primary practice location
713 Sunflower Cir
Weston, FL 33327-2114
Mailing address
8220 SW 149TH Dr
Village of Palmetto Bay, FL 33158-1945
Phone (201) 681-2830
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017267 | NY | MD | Mental Health Counselor |
| PY7547 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1811179534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 SW 149TH DR",
"city": "VILLAGE OF PALMETTO BAY",
"state": "FL",
"postal_code": "331581945",
"telephone_number": "201-681-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 SUNFLOWER CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333272114",
"telephone_number": "201-681-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTEL BRICKMAN",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017267",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.