DR. ANNA KARIN BRENNER (PSY.D) – Psychologist, NPI 1740810084

DR. ANNA KARIN BRENNER (PSY.D) is a healthcare provider. based in Melbourne, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. PY10702 (FL). The NPI Number for DR. ANNA KARIN BRENNER (PSY.D) is 1740810084

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNA KARIN BRENNER (PSY.D)
NPI
1740810084
Phone
(321) 751-1925
Address
6767 N WICKHAM RD STE 306
Enumeration Date
24 January 2020
Last Update Date
29 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217511925
Graduation Year
2018 (8 years ago)
PAC ID
5193156610
Group Practice PAC ID
9638078025
Professional Enrollment ID
I20200515001508
Address ID
FL329402025ME6767XRDXX401
Telehealth
Yes

Contacts

Secure Messaging
pab.2011@ymail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. ANNA KARIN BRENNER (PSY.D)

  • 6767 N WICKHAM RD STE 306

    MELBOURNE, FL 329402025

    Phone: (321) 751-1925

    Fax: (321) 751-9261

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200515001508IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638078025View full group profile
NameSpecialtyState
Clinical PsychologistFL
Nurse PractitionerFL
Clinical PsychologistFL
Clinical PsychologistFL
P S Y C H I A T R YFL
-FL
Mental Health CounselorFL
-FL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ANNA KARIN BRENNER (PSY.D)?
NPI 1740810084 is assigned to DR. ANNA KARIN BRENNER (PSY.D) under the national enumeration system.
Is DR. ANNA KARIN BRENNER (PSY.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. ANNA KARIN BRENNER (PSY.D) work in?
You can think of DR. ANNA KARIN BRENNER (PSY.D) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ANNA KARIN BRENNER (PSY.D)?
The page summarizes Melbourne, Florida for DR. ANNA KARIN BRENNER (PSY.D); expand the address list for detail.
What if Melbourne, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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