Kimberly Joy Brayton, PH.D., J.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016568 Issued in NY

Practice address

92 Bay St
Glens Falls, NY 12801-3031

Phone

(518) 480-3188

Fax

(518) 480-3189

NPI assigned

Oct 25, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimberly Joy Brooks Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brayton Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glens Falls, NY
  • NPI 1578336293
  NPD Authorized official
• New Pathways Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Queensbury, NY
  • NPI 1235950197
  NPD

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1295725893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013031",
            "telephone_number": "518-792-9100",
            "fax_number": "518-480-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013031",
            "telephone_number": "518-480-3188",
            "fax_number": "518-480-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYTON",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "credential": "PH.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016568",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BROOKS",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John C Braico, M.D.
• Kathleen T Braico, M.D.
• Carolyn Elizabeth Brandis, DPT
• Sandi Ann Braymer, RN
• Brayton Psychological Services
• Martin J Breen, MD
• Jennifer Rebecca Breeyear, RN, NPP-BC
• William Charles Brender, MD
• Kristy Lee Brennan, MS
• Alison Brienza, D.D.S.

• Clinical Psychologist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.