Yelena Bromberg, PSY.D., M.S.ED.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022050-01 Issued in NY

Practice address

403 Avenue M
Brooklyn, NY 11230-4749

Phone

(929) 416-2648

Fax

(929) 447-8094

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1063872679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 AVENUE U # 312",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295062",
            "telephone_number": "929-416-2648",
            "fax_number": "929-447-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304749",
            "telephone_number": "929-416-2648",
            "fax_number": "929-447-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMBERG",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.S.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022050-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02850677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elky Bromberg, M.S.
• Karen S. Bromberg, AU.D.
• Kenneth Bromberg, M.D.
• Tea Bromberg, NP
• Tereza Bromberg
• Stacy Bromberger
• Deborah Verdel Brome, MD
• McCall Katherine Bromelkamp
• Bromer Medical, PC
• Paulet Christine Bromfield

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.