BRANDON WATERBURY NPI 1376010173

NPI Information

  • NPI: 1376010173
  • Provider Name: BRANDON WATERBURY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 498 NW 18TH ST BLDG 416
    RICHMOND, IN
    ZIP 47374
  • Phone: (765) 914-3937

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NPI Details

Brandon Waterbury is a mental health counselor in Richmond, IN. Brandon Waterbury NPI is 1376010173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

498 NW 18TH ST BLDG 416
RICHMOND, IN
ZIP 47374-851
Phone: (765) 914-3937

The enumeration date for this NPI number is 10/30/2018 and was last updated on 10/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health39002851AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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