Brian Bantel
NPI 1710430137ActiveIndividual· Psychologist, Clinical· Scottsdale, AZ
Psychologist, Clinical in Scottsdale, Arizona, licensed in AZ, with an NPI issued in August 2016. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1710430137 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 2, 2016 |
| Last updated in NPPES | Sep 24, 2026 |
| Certified by provider | Sep 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-005364 | AZ |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | PSY-005364 | AZ |
| Psychologist, Cognitive & Behavioral | 103TB0200X | PSY-005364 | AZ |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | PSY-005364 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AZ) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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