Braaten Neuroscience LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

BRAATEN NEUROSCIENCE LLC

Doing business as

Alyssa Braaten

Practice address

2701 N Decatur Rd
Decatur, GA 30033-5918

Phone

(612) 423-1888

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Alyssa Braaten, PHDNPI 1013153071

Title

Owner

Phone

(612) 423-1888

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Braaten Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Braaten, PH.D.

  • Clinical Neuropsychologist
  • Decatur, GA
  • NPI 1013153071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1235907718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VILLAGE PKWY NE APT 138",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064363",
            "telephone_number": "612-423-1888",
            "fax_number": "678-985-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "612-423-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Candler St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302626",
            "country_code": "US",
            "telephone_number": "612-423-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAATEN NEUROSCIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "BRAATEN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-1888",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alyssa Braaten",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eryka Lorae Boyd, PH.D.
• Sadarius Boyd
• Letitia Boyer
• Robert Lewis Bozard Jr.
• Keshia Nicole Bozeman, LCSW
• Alyssa Braaten, PH.D.
• Anna Brachey, ED.S., NCC
• Cassandra Griffith Brackett, D.D.S
• Laquitta Sherea Brackins
• Wakita Cassandra Bradford, R.N. M.S.N

• Clinical Neuropsychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.