Organization Active NPI

Pamela D. Bratton, PH.D., P.a.

  • Psychologist
  • Port Orange, FL
National Provider Identifier
1447525829
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY3631 Issued in FL
Legal business name
PAMELA D. BRATTON, PH.D., P.A.
Practice address
4319 S Ridgewood Ave
Port Orange, FL 32127-4522
Phone
(386) 788-2687
Fax
(321) 234-0310
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Pamela Diane Bratton, PH.D.NPI 1811900525
Title
Psychologist
Phone
(386) 788-2687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY3631 FL Primary

Addresses

Primary practice location

4319 S Ridgewood Ave
Port Orange, FL 32127-4522

Mailing address

4319 S Ridgewood Ave
Port Orange, FL 32127-4522
Phone (386) 788-2687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1447525829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274522",
            "telephone_number": "386-788-2687",
            "fax_number": "321-234-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274522",
            "telephone_number": "386-788-2687",
            "fax_number": "321-234-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA D. BRATTON, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BRATTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "386-788-2687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.