MR. BEAU CHARLES BRENDLEY PSY D
NPI 1447537766
Psychologist in Philadelphia, PA

Active since November 15, 2011PECOS EnrolledAccepts Medicare Assignment
255 S 17TH ST STE 1010, PHILADELPHIA, PA 19103(672) 319-5882 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Beau Charles Brendley Psy D NPPES

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

MR. BEAU CHARLES BRENDLEY PSY D (NPI 1447537766) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS018603) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1447537766
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. BEAU CHARLES BRENDLEYCredential: PSY D
Location Address255 S 17TH ST STE 1010Philadelphia, PA 19103-6210
Mailing Address815 S 2nd StPhiladelphia, PA 19147-3415 · (267) 231-9588
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 15, 2011
Last NPPES UpdateSeptember 25, 2018
NPI 1447537766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS018603
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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC006129 (PA)
255 S 17TH ST STE 1010, Philadelphia, PA 19103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Beau Charles Brendley Psy D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325460181
PECOS Enrollment IDI20200624000861
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.

Other Providers at the Same Location NPPES 16

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

Marriage & Family Therapist
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103
Psychiatry & Neurology (Psychiatry)
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103
Psychologist (Clinical)
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103
Counselor (Professional)
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103
Social Worker (Clinical)
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103
Psychologist (Counseling)
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103
Psychologist (Counseling)
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103
Student in an Organized Health Care Education/Training Program
255 S 17TH ST STE 1010
PHILADELPHIA, PA 19103

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 Beau Brendley's NPI number?

The NPI number for Beau Brendley is 1447537766. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Where is Beau Brendley located?

Beau Brendley practices at 255 S 17th St Ste 1010, Philadelphia, PA 19103. The listed phone number is (672) 319-5882.

What is Beau Brendley's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Beau Brendley enrolled in Medicare?

Yes. Beau Brendley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beau Brendley accept?

Health plans from Providence Health Plan list Beau Brendley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beau Brendley was last updated on September 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.