Individual provider Active NPI

Meredith Glick Brinegar, PHD

  • Psychologist
  • Centerville, OH
National Provider Identifier
1891090296
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6749 Issued in OH
Practice address
77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239
Phone
(937) 436-0700
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6749 OH Primary

Addresses

Primary practice location

77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239

Mailing address

2221 Ivy Crest Dr
Bellbrook, OH 45305-1855
Phone (217) 714-6982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20131211000603 OH Practitioner - Clinical Psychologist 7911134366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7071 Corporate Way
Suite 110
Dayton, OH 45459-4245
Phone (937) 259-8594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith Glick Brinegar, PHD, LLC Psychologist CurrentSince Jan 1, 2016 Accepting new patients
Patricia J. Hayes, Psy.D Associates Past Accepting new patients
A. Davis, MSW, LLC Past Accepting new patients

Locations

7071 Corporate Way
Ste 110
Dayton, OH 45459
Phone (937) 259-8594

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1891090296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 IVY CREST DR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453051855",
            "telephone_number": "217-714-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR",
            "address_2": "SUITE 202",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594239",
            "telephone_number": "937-436-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINEGAR",
        "first_name": "MEREDITH",
        "middle_name": "GLICK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.