LAURIE A BRENNER PHD
NPI 1063811487
Psychologist - Clinical in Charlottesville, VA

Active since August 21, 2014PECOS Enrolled
79.39/100
CMS Quality Rating
1221 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-2706(434) 924-9068 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Aug 8, 2023, Oct 21, 2020 and 1 more (4 updates tracked since 2018).

About Laurie A Brenner Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE A BRENNER PHD (NPI 1063811487) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810005040) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1063811487
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAURIE A BRENNERCredential: PHD
Location Address1221 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Fax(434) 924-9068
Sole ProprietorNo
Enumeration DateAugust 21, 2014
Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1063811487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in VA · 0810005040
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 0810005040 (VA)
1221 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Laurie A Brenner Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Physician Assistant (Medical)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1221 LEE ST, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1221 LEE ST
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurie Brenner's NPI number?

The NPI number for Laurie Brenner is 1063811487. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Laurie Brenner located?

Laurie Brenner practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2706.

What is Laurie Brenner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laurie Brenner enrolled in Medicare?

Yes. Laurie Brenner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laurie Brenner was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.