Diane Gail Brennan, PSYD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

8045 E Portobello Ave
Mesa, AZ 85212-1690

Phone

(480) 507-1404

Fax

(480) 507-1666

NPI assigned

Jan 23, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1861547820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 E PORTOBELLO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121690",
            "telephone_number": "480-507-1404",
            "fax_number": "480-507-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 E PORTOBELLO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121690",
            "telephone_number": "480-507-1404",
            "fax_number": "480-507-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "DIANE",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Michele Breitbach, MOT, OTR/L
• Lloyd D Brenden, MD
• Brendon J. Labban, P.C.
• Alissa Michele Brennan, P.T.A.
• David Michael Brennan, FNP-C
• Michael Brennan, MD
• Lois E Brenneman, FNP
• Brent D. Sloten D.O. PLLC (Allure Dermatology)
• Brent H. Mason, DDS, PC
• Martha K Brent

• School Psychologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• School Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.