Branch Behavioral Health Service Virtual Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRANCH BEHAVIORAL HEALTH SERVICE VIRTUAL PSYCHIATRY

Practice address

840 First Ave Ste 400
King of Prussia, PA 19406-4062

Phone

(610) 934-2200

Fax

(610) 885-0801

NPI assigned

Apr 17, 2022

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxanne Jeffries-Baxter, CRNPNPI 1902837230

Title

Ceo

Phone

(267) 307-2077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roxanne Jeffries-Baxter, NP

  • Family Nurse Practitioner
  • King of Prussia, PA
  • NPI 1902837230

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1225771371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 FIRST AVE STE 501",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061316",
            "telephone_number": "610-934-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 FIRST AVE STE 400",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064062",
            "telephone_number": "610-934-2200",
            "fax_number": "610-885-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH BEHAVIORAL HEALTH SERVICE VIRTUAL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-17",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES-BAXTER",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-307-2077",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Mae Bowman, COTA/L
• Lindsay Boyd
• Michela Bozzacco, PHARMD
• Mackenzie Brackin
• Meghan Bramlage, PT
• Elizabeth L Brasgalla, LPC
• Katheryn Brauckmann, LCSW
• Mary Brazunas, MS, ATC
• Emily Brecher
• Melissa Brennan

• Psychiatric/Mental Health Nurse Practitioner in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.