Brittany Blackmon Fenwick, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4604 Issued in TX

Practice address

1001 S Dairy Ashford Rd # 156
Houston, TX 77077-2375

Phone

(334) 246-1313

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychologist, TX

  Medicare reassignment NPD
• Dr B Cares2,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1649944802
  NPD Authorized official

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1861901209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 FM 1463 RD # 160161",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944027",
            "telephone_number": "678-524-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S DAIRY ASHFORD RD # 156",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772375",
            "telephone_number": "334-246-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Interstate Dr # 241",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368011526",
            "country_code": "US",
            "telephone_number": "334-246-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMON FENWICK",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2117",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "4604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackbyrd the Carrier Company
• Blackcar Medical
• Blackhawk Dental
• Jerry Blacklock, M.D.
• Jasmine Janay Blackman, MBA
• Ana Blackmon, M.D.
• Brandy Michelle Blackmon
• Eme Blackmon
• James Blackmon, LPC
• Marilyn S Blackmon, MA LPC LCDC

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.