Organization Active NPI

Dr. Audrey Brutus Psychological Support PC

  • Community/Behavioral Health Agency
  • Nanuet, NY
National Provider Identifier
1922644210
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DR. AUDREY BRUTUS PSYCHOLOGICAL SUPPORT PC
Practice address
259 N Middletown Rd FL 2
Nanuet, NY 10954-1220
Phone
(347) 528-7671
Fax
(845) 354-6501
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Dr. Audrey Brutus, PSYDNPI 1679877112
Title
Ceo
Phone
(347) 528-7671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

259 N Middletown Rd FL 2
Nanuet, NY 10954-1220

Mailing address

259 N Middletown Rd FL 2
Nanuet, NY 10954-1220
Phone (347) 528-7671

National Provider Directory

National Provider Directory

Locations

259 N Middletown Rd
Fl 2
Nanuet, NY 10954
Phone (212) 684-0099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1922644210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 N MIDDLETOWN RD FL 2",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541220",
            "telephone_number": "347-528-7671",
            "fax_number": "845-354-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N MIDDLETOWN RD FL 2",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541220",
            "telephone_number": "347-528-7671",
            "fax_number": "845-354-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AUDREY BRUTUS PSYCHOLOGICAL SUPPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-528-7671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.