Individual provider Active NPI

Brittany Ann Kinman, PHD

  • Clinical Psychologist
  • Oxford, MS
National Provider Identifier
1841832318
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
621125 Issued in MS
Practice address
2704 W Oxford Loop Ste 114H
Oxford, MS 38655-5728
Phone
(662) 715-7703
NPI assigned
Oct 16, 2019
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3661 TN
Clinical Psychologist 103TC0700X 621125 MS Primary

Addresses

Primary practice location

2704 W Oxford Loop Ste 114H
Oxford, MS 38655-5728

Mailing address

2704 W Oxford Loop Ste 114H
Oxford, MS 38655-5728
Phone (662) 715-7703

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
621125MSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Psychological Services Clinical CurrentSince Jul 23, 2023 Accepting new patients
Germantown Psychological Associates PC PastSince Oct 1, 2019 Accepting new patients

Locations

2704 West Oxford Loop
Ste 114H
Oxford, MS 38655
Phone (228) 324-5790

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1841832318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 W OXFORD LOOP STE 114H",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555728",
            "telephone_number": "662-715-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 W OXFORD LOOP STE 114H",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555728",
            "telephone_number": "662-715-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINMAN",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3661",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "621125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.