Active NPI
Janet Slater Brandon, PHD
- Psychologist
- Chestertown, MD
National Provider Identifier
1982735304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1371
- Practice address
- 818 High St
Chestertown, MD 21620 - Phone
- (410) 778-5550
- NPI assigned
- Mar 8, 2007
- Last updated
- Feb 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01371 | MD | |
| Psychologist | 103T00000X | 1371 | MD | Primary |
Addresses
Primary practice location
818 High St
Chestertown, MD 21620
Mailing address
818 High St
Chestertown, MD 21620
Phone (410) 778-5550
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13631 | Other | MD | JOHNS HOPKINS |
| 285935 | Other | MD | MAMSI |
| PVPB1199 | Other | MD | APS PROVIDER NO |
| 61-71014 | Other | MD | UBH PROVIDER NO |
| 411270-04 | Other | MD | BLUE CROSS BLUE SHIELD MD |
| 5659021700 | Medicaid | MD | |
| 001326 | Other | MD | VALUE OPTIONS |
| T4180003 | Other | MD | BCBS GHMSI |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01371 | MD | MD | Psychologist |
| 1371 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1982735304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 HIGH ST",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "21620",
"telephone_number": "410-778-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 HIGH ST",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "21620",
"telephone_number": "410-778-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "JANET",
"middle_name": "SLATER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "01371",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "1371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "13631",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "285935",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS PROVIDER NO",
"identifier": "PVPB1199",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH PROVIDER NO",
"identifier": "61-71014",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MD",
"identifier": "411270-04",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5659021700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "001326",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GHMSI",
"identifier": "T4180003",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.