DR. ANNA KARIN BRENNER (NPI# 1740810084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740810084 |
| Entity Type | Individual |
| Full Name | DR. ANNA KARIN BRENNER |
| Other Name | ANNA SHUMAN |
| Credential | PSY.D |
| Practice Address |
6767 N Wickham Rd Ste 306 Melbourne FL 32940-2025 |
| Practice Telephone | 3217511925 |
| Practice Fax Number | 3217519261 |
| Mailing Telephone | 3217511925 |
| Mailing Fax Number | 3217519261 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY10702 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932592896 | Anna Brenner | Rehabilitation Practitioner | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2015-03-16 |
| Street Address |
6767 N WICKHAM RD STE 306 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304161 | Nicolina Demuynck | Nurse Practitioner | 6767 N Wickham Rd Ste 306, Melbourne, FL 32940-2025 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023903 | Kiristin Eggett | Psychologist | 986 Fostoria Dr, Melbourne, FL 32940-1512 | 2020-04-30 |
| 1891203642 | Kristin Dezen | Psychologist | 141 Beth Ln Apt 264, Melbourne, FL 32904-5044 | 2018-01-15 |
| 1346679966 | Glenn Sloman | Psychologist | 100 Rialto Pl Ste 718, Melbourne, FL 32901-3002 | 2013-11-04 |
| 1235380833 | Robert Winston | Psychologist | 4010 Lakebreeze Blvd, Melbourne, FL 32934-7716 | 2008-10-02 |
| 1851572598 | Michael Weinberg | Psychologist | 65 E Nasa Blvd Ste 101, Melbourne, FL 32901-1961 | 2007-11-23 |
| 1134337926 | Wanda Louise Bethea | Psychologist | 405 E Strawbridge Ave, Melbourne, FL 32901-4558 | 2007-05-18 |
| 1528119609 | Andrea Verier | Psychologist | 107 N Palm Ave, Melbourne, FL 32903-3131 | 2007-01-15 |
| 1467516096 | Valerie Allen | Psychologist | 101 E New Haven Ave, Melbourne, FL 32901-4501 | 2006-12-20 |
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1235220609 | Susan P. Trefry | Psychologist | 1507 Riverview Dr, Melbourne, FL 32901-4625 | 2006-09-28 |
| Find all providers in MELBOURNE | ||||
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| 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.