John Randall Brandt, PH.D.

Clinical Psychologist · Springfield, MO

Individual Active NPI

NPI number 1033669080

Practice location

3800 S National Ave Ste 770
Springfield, MO 65807-5283
Phone
(417) 269-6891
Fax
(417) 269-5595

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NPI record

NPI
1033669080
Entity type
Individual (Type 1)
Enumeration date
October 13, 2016
Last updated
September 27, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 2016032320 MO
Clinical Psychologist 103TC0700X PY5269 FL

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone
(417) 269-5712
Fax
(417) 269-7567

About Dr. Brandt

John Randall Brandt, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 3800 S National Ave Ste 770, Springfield, MO 65807-5283. The NPI number 1033669080 was assigned on October 13, 2016 and the record was last updated on September 27, 2019.

Dr. Brandt lists 2 licenses in the registry: #2016032320 (MO) for Clinical Psychologist; #PY5269 (FL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Randall Brandt, PH.D.?

The NPI number is 1033669080.

What is the phone number of Dr. Brandt?

The phone number listed for the practice location is (417) 269-6891.

Where is Dr. Brandt located?

3800 S National Ave Ste 770, Springfield, MO 65807-5283.

What is the taxonomy code for Dr. Brandt?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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