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

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
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Practice location Address checks out

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

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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