COLLEEN APRIL BRENNER


Address: 1710 Barton Rd, Redlands, CA 92373-5304
Phone: 9095588617

COLLEEN APRIL BRENNER (NPI# 1851867147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851867147
Entity Type Individual
Full Name COLLEEN APRIL BRENNER
Credential PH.D.
Practice Address 1710 Barton Rd
Redlands
CA 92373-5304
Mailing Address Loma Linda University, Department of Psychology
11130 Anderson Street
Loma Linda
CA 92350
Practice Telephone 9095588617
Mailing Telephone 9095588617
Enumeration Date 2018-10-15
Last Update Date 2018-10-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY29154 CA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY29154 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1686 Barton Rd, Redlands, CA 923731488 9095588617

Office Location

Street Address 1710 BARTON RD
City REDLANDS
State CA
Zip Code 92373-5304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275565533 Faculty Physicians and Surgeons of Llusm Psychiatry & Neurology 1710 Barton Rd, Redlands, CA 92373-5304 2006-07-07
1174160444 Allison Beard Marriage & Family Therapist 1710 Barton Rd, Redlands, CA 92373-5304 2019-12-05
1710529425 Janice D Agdigos Marriage & Family Therapist 1710 Barton Rd, Redlands, CA 92373-5304 2019-10-14
1104301126 Daniel Strosky Psychologist 1710 Barton Rd, Redlands, CA 92373-5304 2018-09-25
1053810341 Dorothy Kay Geiger Marriage & Family Therapist 1710 Barton Rd, Redlands, CA 92373-5304 2018-02-01
1205215936 Zachary Charles Herzfeldt Psychiatry & Neurology 1710 Barton Rd, Redlands, CA 92373-5304 2015-05-27
1902203458 Kristie Leong Pharmacist 1710 Barton Rd, Redlands, CA 92373-5304 2014-11-28
1477969079 Jessica De La Rosa Counselor 1710 Barton Rd, Redlands, CA 92373-5304 2014-07-03
1013264811 Richard Mark Rusovick Marriage & Family Therapist 1710 Barton Rd, Php, Redlands, CA 92373-5304 2012-08-10
1720348659 Monica Tone Psychiatry & Neurology 1710 Barton Rd, Redlands, CA 92373-5304 2012-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508473422 Mindfulness Counseling Services Marriage & Family Therapist 101 E. Redlands, Suite 170a, Redlands, CA 92373 2020-09-24
1710596721 Vandna Mittal Counselor 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 2020-07-26
1164062345 Sara Bencoe Nurse Practitioner 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 2020-01-15
1033604103 John Duane Wuchenich Anesthesiology 451 Summit Avenue, Redlands, CA 92373 2018-06-29
1013401074 Adept Hospice Care Hospice Care, Community Based 515 New Jersey St., Suite G, Redlands, CA 92373 2018-06-21
1134616121 Rodrigo Robles Student in an Organized Health Care Education/Training Program 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 2018-04-16
1760987614 Redlands Endodontics Dentist 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 2018-03-23
1487164166 Tyler Stafford Behavioral Analyst 1467 Ford St. Suite 104, Redlands, CA 92373 2017-10-06
1083131486 Shannon Palmowski Behavioral Analyst Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 2017-08-25
1275062622 Erim Sarbuland Marriage & Family Therapist 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 2017-06-08
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902276306 Rebecca Elise Ballinger Psychologist 101 E Redlands Blvd Ste 234g, Redlands, CA 92373 2015-09-29
1730589391 Inland Counseling Corporation Psychologist 1255 W Colton Ave Ste 110, Redlands, CA 92374-2861 2014-09-01
1457587826 Caroline Daravi Psychologist 1706 Plum Ln Ste 110, Redlands, CA 92374-4578 2009-05-29
1710016530 Inland Psychiatric Medical Group, Inc Psychologist 405 Missouri Ct, Redlands, CA 92373-8083 2007-03-05
1760510150 Antonia Ciovica Psychologist 1686 Barton Rd Ste E, Redlands, CA 92373-1489 2007-02-28
1275669475 Grand Terrace Psychological Services, Inc. Psychologist 721 Nevada St Ste 203, Redlands, CA 92373-8051 2007-02-24
1013096890 William Carey Shearer Psychologist 1902 Orange Tree Ln, Suite 150, Redlands, CA 92374-2888 2006-11-03
1760599260 William Paul Nelson Psychologist 420 Brookside Ave, Redlands, CA 92373-4610 2006-08-23
1558311373 Faculty Physicians and Surgeons of Llusm Psychologist 1686 Barton Rd, Redlands, CA 92373-7761 2006-05-11
1386606143 Constance Marie Taylor Psychologist 222 E. Olive Avenue, Suite 7, Redlands, CA 92373-5268 2006-04-05
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Competitor

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City REDLANDS
Zip Code 92373

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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