Active NPI
Mollie Lee Braun, MOLLIE BRAUN APRN
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Holyoke, MA
National Provider Identifier
1467518787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 75897PC
- Practice address
- 489 Whitney Ave
3Rd Floor
Holyoke, MA 01040-2711 - Phone
- (413) 532-6777
- Fax
- (413) 532-6744
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 75897PC | MA | Primary |
Addresses
Primary practice location
489 Whitney Ave
3Rd Floor
Holyoke, MA 01040-2711
Mailing address
132 Brickyard Rd
Southampton, MA 01073-9525
Phone (413) 529-9412
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN0807 | Other | MA | BCBSMA |
| 1859978 | Other | MA | MASSHEALTH QMB |
Other names 1
- Mollie Lee Freese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75897PC | MA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467518787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 BRICKYARD RD",
"city": "SOUTHAMPTON",
"state": "MA",
"postal_code": "010739525",
"telephone_number": "413-529-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 WHITNEY AVE",
"address_2": "3RD FLOOR",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402711",
"telephone_number": "413-532-6777",
"fax_number": "413-532-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "MOLLIE",
"middle_name": "LEE",
"credential": "MOLLIE BRAUN APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "75897PC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "PN0807",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH QMB",
"identifier": "1859978",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLIE",
"last_name": "FREESE",
"middle_name": "LEE",
"credential": "MOLLIE BRAUN APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holyoke, MA
Sources for this page
- 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.