Scott David Brandt

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10838 Issued in CA

Practice address

2360 E Bidwell St
Suite 107
Folsom, CA 95630-3406

Phone

(800) 391-7010

Fax

(916) 939-7723

NPI assigned

Apr 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Scott David Brandt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871718015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 WARREN LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624285",
            "telephone_number": "800-391-7010",
            "fax_number": "916-939-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 E BIDWELL ST",
            "address_2": "SUITE 107",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303406",
            "telephone_number": "800-391-7010",
            "fax_number": "916-939-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "BRANDT",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brentley Bradford
• Snezana Bradic
• Lynne Suzanne Bradshaw, MA
• Brady Fortes Chiropractic Corporation (Cafe of Life Chiropractic)
• Maria C Brady, DC
• Kristen Michelle Branham, MPT
• Randeep Singh Brar, PMHNP
• Keith Richard Brau
• Brett Jensen, DDS, Inc.
• Breanne Brett, PHYSICAL THERAPIST

• Clinical Psychologist in Folsom, CA
• Providers in Folsom, CA by specialty
• Clinical Psychologist in California

• 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.

Verify at the official NPI Registry.