Individual provider Active NPI

Isabel B. Brachfeld, ED.D.

  • Psychologist
  • Morristown, NJ
National Provider Identifier
1013085687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI02155 Issued in NJ
Practice address
440 Sussex Ave
Morristown, NJ 07960-3527
Phone
(973) 455-1352
Fax
(973) 285-1734
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SI02155 NJ Primary

Addresses

Primary practice location

440 Sussex Ave
Morristown, NJ 07960-3527

Mailing address

440 Sussex Ave
Morristown, NJ 07960-3527
Phone (973) 455-1352

Other identifiers 1

IdentifierTypeStateIssuer
5037603MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000014 NJ Practitioner - Clinical Psychologist 6507823614 Practice locations: Morristown, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI02155NJMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013085687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SUSSEX AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603527",
            "telephone_number": "973-455-1352",
            "fax_number": "973-285-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SUSSEX AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603527",
            "telephone_number": "973-455-1352",
            "fax_number": "973-285-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHFELD",
        "first_name": "ISABEL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI02155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5037603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.