Active NPI
Adrian Charles Brenn, PH.D.
- Psychologist
- Saipan, MP
National Provider Identifier
1962619213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5
- Practice address
- 5700 CHRB
Saipan, MP 96950-5556 - Phone
- (670) 322-1925
- Fax
- (670) 322-1926
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5 | MP | Primary |
Addresses
Primary practice location
5700 CHRB
Saipan, MP 96950-5556
Mailing address
PO Box 5700
Saipan, MP 96950-5556
Phone (670) 322-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 19, 2015 through Oct 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5 | MP | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pacific Clinical and Consulting
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saipan, MP
- NPI 1801006531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962619213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5700",
"city": "SAIPAN",
"state": "MP",
"postal_code": "969505556",
"telephone_number": "670-322-1925",
"fax_number": "670-322-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 CHRB",
"city": "SAIPAN",
"state": "MP",
"postal_code": "969505556",
"telephone_number": "670-322-1925",
"fax_number": "670-322-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENN",
"first_name": "ADRIAN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MP",
"license": "5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saipan, MP
- Leticia Pangelinan Borja, MD
- Brabu Pharmacy and Wellness Center LLC (Brabu Pharmacy)
- Brabu Pharmacy and Wellness Center LLC (Brabu Pharmacy Dandan)
- Brabu Pharmacy and Wellness Center LLC (Brabu Pharmacy Kagman)
- Florian Gustav Adolf Braig, MD
- Shawna Brennfleck, NP-C
- Bright Horizons, LLC (Harvest Health Services)
- Richard James Brostrom, MD MSPH
- Daisy Buduan, RPH
- Christopher Gabredo Cabrera, MA, COUNSELING
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.