Active NPI
Ann Brandewie, PSYD
- Psychologist
- Mountain View, CA
National Provider Identifier
1811193469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB32379
- Practice address
- 565 Castro St
Mountain View, CA 94041-2009 - Phone
- (650) 903-2866
- NPI assigned
- Jun 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB32379 | OH | Primary |
Addresses
Primary practice location
565 Castro St
Mountain View, CA 94041-2009
Mailing address
565 Castro St
Mountain View, CA 94041-2009
Phone (650) 903-2866
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 |
|---|---|---|---|
| PSB32379 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811193469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 CASTRO ST",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940412009",
"telephone_number": "650-903-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 CASTRO ST",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940412009",
"telephone_number": "650-903-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDEWIE",
"first_name": "ANN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "PSB32379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.