Adrian Charles Brenn, PH.D.
Individual provider Active NPI Psychologist · Saipan, MP
NPI 1962619213 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962619213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 5 (MP)
- Practice address
- 5700 CHRB
Saipan, MP 96950-5556 - Phone
- (670) 322-1925
- Fax
- (670) 322-1926
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5 | MP | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5 | MP | Yes |
Addresses
Primary practice location
5700 CHRB
Saipan, MP 96950-5556
Mailing address
PO Box 5700
Saipan, MP 96950-5556
Phone (670) 322-1925
Other providers in Saipan, MP
- Leticia Pangelinan Borja
- Brabu Pharmacy and Wellness Center LLC
- Brabu Pharmacy and Wellness Center LLC
- Brabu Pharmacy and Wellness Center LLC
- Florian Gustav Adolf Braig
- Shawna Brennfleck
- Bright Horizons, LLC
- Richard James Brostrom
- Daisy Buduan
- Christopher Gabredo Cabrera
All providers in Saipan, MP · Psychologist in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.