NPIMap

Organization Active NPI

David Brinkman-Sull, Inc.

  • Psychologist
  • Beachwood, OH
National Provider Identifier
1861429219
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5376 Issued in OH
Legal business name
DAVID BRINKMAN-SULL, INC.
Practice address
23210 Chagrin Blvd
Commerce Park One - Suite 211
Beachwood, OH 44122-5462
Phone
(440) 539-5452
Fax
(216) 595-0118
NPI assigned
Jun 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Carl Brinkman-Sull, PH.D.NPI 1861444564
Title
President
Phone
(440) 539-5452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5376 OH Primary

Addresses

Primary practice location

23210 Chagrin Blvd
Commerce Park One - Suite 211
Beachwood, OH 44122-5462

Mailing address

18330 Geauga Lake Rd
Chagrin Falls, OH 44023-1515
Phone (440) 539-5452

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861429219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18330 GEAUGA LAKE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231515",
            "telephone_number": "440-539-5452",
            "fax_number": "216-595-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23210 CHAGRIN BLVD",
            "address_2": "COMMERCE PARK ONE - SUITE 211",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225462",
            "telephone_number": "440-539-5452",
            "fax_number": "216-595-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BRINKMAN-SULL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN-SULL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-539-5452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.