Individual provider Active NPI

Lisa Ann Paul-Bramer, PH.D.

  • Counseling Psychologist
  • Toledo, OH
National Provider Identifier
1205049780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6016 Issued in OH
Practice address
3454 Oak Alley CT
Suite 305
Toledo, OH 43606-1306
Phone
(419) 534-2468
Fax
(419) 534-2397
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6016 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT
Suite 305
Toledo, OH 43606-1306

Mailing address

3454 Oak Alley CT
Suite 305
Toledo, OH 43606-1306
Phone (419) 534-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20120222000255 OH Practitioner - Clinical Psychologist 8921054347 Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3454 Oak Alley Court
Suite 305
Toledo, OH 43606-1365

3454 Oak Alley CT
Suite 305
Toledo, OH 43606-1365

3454 Oak Alley CT
Suite 410
Toledo, OH 43606-1355
Phone (419) 345-0634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205049780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "address_2": "SUITE 305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061306",
            "telephone_number": "419-534-2468",
            "fax_number": "419-534-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "address_2": "SUITE 305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061306",
            "telephone_number": "419-534-2468",
            "fax_number": "419-534-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL-BRAMER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "6016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.