Brookrise Therapeutic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BROOKRISE THERAPEUTIC SERVICES

Practice address

5191 Route 32
Catskill, NY 12414-6522

Phone

(929) 410-7023

Fax

(800) 584-1480

NPI assigned

Sep 24, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Kuria-Taylor, PHD

Title

Owner

Phone

(929) 410-7023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1497426944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 STUYVESANT AVE",
            "address_2": "OFFICE #4 SECOND FLOOR",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711726",
            "telephone_number": "929-410-7023",
            "fax_number": "609-228-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 ROUTE 32",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124146522",
            "telephone_number": "929-410-7023",
            "fax_number": "800-584-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKRISE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "KURIA-TAYLOR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-410-7023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Blakesley, MSPT
• Kristen Elizabeth Bohne, PHARM. D
• Tami Bone
• Diane B Braden, N.P.
• Denise Nicole Breault, OTA
• Leslee Ann Browning
• Thomas C Bruno, D.D.S.
• Buffalo Vamc
• Denise Bush, HHA
• Kimberly A Bushane, LMSW

• All providers in Catskill, NY
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.