Cassandra Braam, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1977-057 Issued in WI

Practice address

345 Milwaukee Ave
Burlington, WI 53105-1228

Phone

(262) 763-9191

Fax

(262) 763-7767

NPI assigned

Jan 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859
  Medicare reassignment Care Compare group NPD
• Brotoloc Outpatient Clinic

  dba Brotoloc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1700928017
  NPD (past)
• Clinical Psychology Associates, LLC

  dba Clinical Psychology Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burlington, WI
  • NPI 1619156502

  Clinical

  NPD (past)
• Lakeshores Outpatient Clinic

  dba Brotoloc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1629111943
  NPD (past)
• Odyssey Healthcare Operating B, LP

  dba Gentiva

  • Community Based Hospice Care Agency
  • Coeur d'Alene, ID
  • NPI 1225487648
  NPD (past)

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174679344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531050391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MILWAUKEE AVE",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051228",
            "telephone_number": "262-763-9191",
            "fax_number": "262-763-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAM",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1977-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Boettcher, PT
• Nicole Lee Bolte, LPN
• Leonid Bouinyi, M.D.
• Nicholas C Bowen, OD
• Carin Elizabeth Bowman, LPN
• Annette Brauckhoff
• Tria Braun, CAPSW, LCSW
• Lisa L Bray, FNP-BC
• Brazeal LLC
• Christopher Michael Breytspraak, D.C.

• Clinical Psychologist in Burlington, WI
• Providers in Burlington, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.