Individual provider Active NPI

Joseph Adams Braun, PH.D.

  • Clinical Psychologist
  • Park Ridge, NJ
National Provider Identifier
1285725044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00097600 Issued in NJ
Practice address
6 Spring Valley Rd
Park Ridge, NJ 07656-1821
Phone
(201) 573-0739
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Clinical Psychologist 103TC0700X 35SI00097600 NJ Primary

Addresses

Primary practice location

6 Spring Valley Rd
Park Ridge, NJ 07656-1821

Mailing address

6 Spring Valley Rd
Park Ridge, NJ 07656-1821
Phone (201) 573-0739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050526000540 NJ Practitioner - Clinical Psychologist 8325080633 Practice locations: Park Ridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Sping Valley Rd
Park Ridge, NJ 07656

6 Spring Valley Rd
Park Ridge, NJ 07656-1821
Phone (201) 573-0739

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285725044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SPRING VALLEY RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561821",
            "telephone_number": "201-573-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SPRING VALLEY RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561821",
            "telephone_number": "201-573-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "JOSEPH",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00097600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, NJ

Sources for this page

Verify at the official NPI Registry.