Active NPI
Bracha Schnaidman
- Psychologist
- Lakewood, NJ
National Provider Identifier
1023681053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00630000
- Practice address
- 699 Cross St
Lakewood, NJ 08701-4681 - Phone
- (732) 666-9898
- NPI assigned
- Jul 19, 2021
- Last updated
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00630000 | NJ | Primary |
Addresses
Primary practice location
699 Cross St
Lakewood, NJ 08701-4681
Mailing address
75 Forest Dr
Lakewood, NJ 08701-2315
Phone (347) 661-5086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00630000 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1023681053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FOREST DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012315",
"telephone_number": "347-661-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 CROSS ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014681",
"telephone_number": "732-666-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNAIDMAN",
"first_name": "BRACHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00630000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.