Grace Louise Brandt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R31423 Issued in NY

Practice address

5 W 86TH St
Suite 1Aa
New York, NY 10024-3603

Phone

(212) 362-4381

Fax

(917) 441-0097

NPI assigned

Sep 4, 2006

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

Other names 1

• Ms. Grace Louise Bloom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265534762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 86TH ST",
            "address_2": "SUITE 1AA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243603",
            "telephone_number": "212-362-4381",
            "fax_number": "917-441-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 86TH ST",
            "address_2": "SUITE 1AA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243603",
            "telephone_number": "212-362-4381",
            "fax_number": "917-441-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "GRACE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R31423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "BLOOM",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gail Noppe Brandon
• Mara J Brandon, LCSW, CASAC 2
• Rita Brandt-Meyer, LMSW
• Benny Brandt, MD
• Gillian Brandt, MD
• Jillian Lois Brandt, PA-C
• Kylie Brandt, MA
• Stephanie Ann Brandt, M.D.
• Suzanne Brandt, MD
• Margaret Brandwein-Weber, MD

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.