William Bracker Jr., PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68 019898 Issued in NY

Practice address

1881 NE 26TH St Ste 70
Wilton Manors, FL 33305-1425

Phone

(954) 895-1022

NPI assigned

Jun 24, 2006

Last updated

Feb 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bill.bracker.1@30520.direct.athenahealth.com

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

• Bill Bracker, PSYD, LLC

  • Clinical Psychologist
  • Wilton Manors, FL
  • NPI 1184186553
  Medicare reassignment NPD Authorized official
• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  FL

  Medicare reassignment NPD
• Gay Men's Health Crisis, Inc.

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1992903389
  Medicare reassignment NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675468800000",
    "number": "1407882145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4722",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333384722",
            "telephone_number": "954-895-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 70",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051425",
            "telephone_number": "954-895-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6093",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68 019898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bioscrip Pharmacy, Inc. (BioScrip Pharmacy)
• Trista Birdwell, RCSWI
• Kevin Robert Bochenek, MA, MS
• Maria L Bondi, LMHC,DAPA
• Fred F Boykin, MSW
• Brad Zucker Consulting
• Tasia Arianna Bradley, MD
• James Brauss, PA
• Giancarlo Brezillion, DMD
• William Anthony Brody Jr.

• Clinical Psychologist in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.