Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Bantel

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1710430137

Brian Bantel is a Clinical Psychologist in Scottsdale, Arizona. Qualified in 2017, 9 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2016
Specialties on file
4

Practice location Address checks out

9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986
Phone: (480) 992-4996
Fax: (480) 878-3770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-005364 (AZ)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence PSY-005364 (AZ)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PSY-005364 (AZ)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY-005364 (AZ)

Record details

NPI number1710430137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address9375 E Shea Blvd Ste 100, Scottsdale, AZ 85260-6986

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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