MRS. BRANDY BACZWASKI (M.A.) – Clinical Psychologist, NPI 1023450095

Clinical Psychologist

MRS. BRANDY BACZWASKI (M.A.) is a healthcare provider. based in Fulton, Missouri. specializing in Clinical Psychologist. They hold the professional credentials M.A.. They hold a License No. 2016008720 (MO). The NPI Number for MRS. BRANDY BACZWASKI (M.A.) is 1023450095

Main info

Female

Sole Proprietor

11 Years Of Experience

Accepts Medicare Assignment

Name

MRS. BRANDY BACZWASKI (M.A.)

NPI

1023450095

Phone

(573) 592-2623

Address

600 E 5TH ST

Enumeration Date

19 July 2013

Last Update Date

22 August 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5735924100

Graduation Year

2015 (11 years ago)

PAC ID

7618262098

Group Practice PAC ID

1456254226

Professional Enrollment ID

I20160824001603

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness75

Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MRS. BRANDY BACZWASKI (M.A.)

600 E 5TH ST
FULTON, MO 652511753
Phone: (573) 592-2623
Type: Mailing
152 HIGHWAY 7 SOUTH
OXFORD, MS 38655
Phone: (662) 234-7521
Fax: (662) 236-3071
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 65251)

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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: 1456254226View full group profile

Name	Specialty	State
DR. ALICIA D THOMPSON (M.D.)	P S Y C H I A T R Y	OK
JAMESY CHARLES SMITH (D.O.)	Family Practice	MO
JUSTIN M WISEMAN (PSY.D.)	-	MO
DR. COLLEEN TERESA LOEHR (M.D.)	P S Y C H I A T R Y	MO
BRIDGET K MCCOY (MD)	P S Y C H I A T R Y	MO
KEVIN CARPENTER	-	MO
MARK A. FELCHLIA	-	MO
Unknown Individual	-	MO
DR. NIRMALA KURIAN (M.D.)	P S Y C H I A T R Y	MO
ANDREW WHITE (DNP, FNP-C)	Nurse Practitioner	MO