Individual provider Active NPI

Julia Brillante, PSY.D.

  • Clinical Psychologist
  • East Brunswick, NJ
National Provider Identifier
1891307955
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
203-035 Issued in NJ
Practice address
Center for Cognitive Behavior Therapy
190 Route 18 North, Suite 203
East Brunswick, NJ 08816
Phone
(732) 994-3456
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 203-035 NJ Primary

Addresses

Primary practice location

Center for Cognitive Behavior Therapy
190 Route 18 North, Suite 203
East Brunswick, NJ 08816

Mailing address

190 Route 18 North
East Brunswick, NJ 08816

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julia@centerforcbt.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
203-035NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1891307955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ROUTE 18 NORTH",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR COGNITIVE BEHAVIOR THERAPY",
            "address_2": "190 ROUTE 18 NORTH, SUITE 203",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-994-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILLANTE",
        "first_name": "JULIA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "203-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julia@centerforcbt.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "Center for Cognitive Behavior Therapy",
            "address_2": "190 Route 18 North, Suite 203",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.