Sandra J. Brim, PH.D., P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3205 Issued in AZ

Legal business name

SANDRA J. BRIM, PH.D., P.C.

Practice address

15 E Cherry Ave Ste 206
Flagstaff, AZ 86001-4643

Phone

(928) 380-6360

Fax

(928) 774-1070

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Jeanne Brim, PH.D.NPI 1295802189

Title

Psychologist/President

Phone

(928) 380-6360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Jeanne Brim, PH.D.

  • Psychologist
  • Loveland, CO
  • NPI 1295802189
  NPD Authorized official

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1992255897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E CHERRY AVE STE 206",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014643",
            "telephone_number": "928-380-6360",
            "fax_number": "928-774-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E CHERRY AVE STE 206",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014643",
            "telephone_number": "928-380-6360",
            "fax_number": "928-774-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA J. BRIM, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "BRIM",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "928-380-6360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Samuel, OD
• Amanda Sanchez
• Jasmyn Rachel Sanchez
• Eric D Sanders, DC
• Anthony E Sandoval, MD
• Donald Sanfilippo, O.D
• Leonardo Santibanez, NP
• Brooke Santos, MS CCC-SLP
• Sarah Breant ND Lac LLC
• Kimberly Sargent, PA

• Community/Behavioral Health Agency in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.