Lyssa Bramson, M.A.
Individual provider Active NPI Marriage & Family Therapist · Sea Girt, NJ
NPI 1124146899 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124146899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 37FI00182400 (NJ)
- Practice address
- 2130 Highway 35 Ste A114
Sea Girt, NJ 08750-1010 - Phone
- (732) 927-1099
- Fax
- (732) 974-5540
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 54970 | CA | MD | Marriage & Family Therapist |
| 37FI00182400 | NJ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asimena Charalambidis-Urban,Psy.D LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 54970 | CA | |
| Marriage & Family Therapist | 106H00000X | 37FI00182400 | NJ | Yes |
Addresses
Primary practice location
2130 Highway 35 Ste A114
Sea Girt, NJ 08750-1010
Mailing address
2130 Highway 35 Ste A114
Sea Girt, NJ 08750-1010
Phone (732) 927-1099
Other practice location 1
1130 Hooper Ave
Toms River, NJ 08753-8345
Phone (732) 244-0909
Other providers in Sea Girt, NJ
- Louis Michael Bersalona
- Debra Anne Blair
- Boardwalk Physical Therapy
- Laura Bower
- Braces at Sea Girt LLC
- Brighter Smiles Family Dental, PA
- Isabelle C Brousse
- Neila Buday
- Patrick M Buddle
- Yuemei Cai
All providers in Sea Girt, NJ · Marriage & Family Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.