Individual provider Active NPI

Cicely N Horsham-Brathwaite, PH.D.

  • Counseling Psychologist
  • New York, NY
National Provider Identifier
1063683035
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
016586 Issued in NY
Practice address
7 W 30TH St
FL 11
New York, NY 10001-4406
Phone
(516) 647-1712
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 016586 NY Primary

Addresses

Primary practice location

7 W 30TH St
FL 11
New York, NY 10001-4406

Mailing address

7 W 30TH St
FL 11
New York, NY 10001-4406
Phone (516) 647-1712

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1063683035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 30TH ST",
            "address_2": "FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014406",
            "telephone_number": "516-647-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 30TH ST",
            "address_2": "FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014406",
            "telephone_number": "516-647-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSHAM-BRATHWAITE",
        "first_name": "CICELY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "016586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.