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

Individual provider Clinical Psychologist · NPI 1992807465

Edward Brenner, PSYD is a Clinical Psychologist in Syosset, New York. Qualified in 1988, 38 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

175 Jericho Tpke Ste 215
Syosset, NY 11791-4532
Phone: (516) 677-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 009667 (NY)

Record details

NPI number1992807465
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address175 Jericho Tpke, Suite 215, Syosset, NY 11791-4532

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Syosset