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JASON BRANDT PH.D.
NPI 1922065580
Psychologist - Clinical in Baltimore, MD

Active since April 27, 2006Opted out of Medicare · through Oct 1, 2027
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-5104 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jason Brandt Ph.d. NPPES

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

JASON BRANDT PH.D. (NPI 1922065580) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (01604) and active in the NPI registry since April 2006. He has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1922065580
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJASON BRANDTCredential: PH.D.
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing AddressPo Box 64260Baltimore, MD 21264-4260
Phone(410) 955-5104
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 4, 2013
✔ NPI 1922065580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 01604
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.
600 N WOLFE ST, Baltimore, MD 21287
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Other Identifiers 3

Medicaid448254900MD
Medicare UPINR09556MD
Medicare ID-Type UnspecifiedK562AA86MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jason Brandt Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Jason Brandt's NPI number?

The NPI number for Jason Brandt is 1922065580. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Jason Brandt located?

Jason Brandt practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-5104.

What is Jason Brandt's specialty?

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

Is Jason Brandt enrolled in Medicare?

No. Jason Brandt has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jason Brandt was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.