Active NPI
Hollie D Brayer, M.ED.
- Psychologist
- Jenkintown, PA
National Provider Identifier
1497799381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS005000L
- Practice address
- 261 Old York Rd Ste 525a
Jenkintown, PA 19046-3721 - Phone
- (215) 915-3000
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS005000L | PA | Primary |
Addresses
Primary practice location
261 Old York Rd Ste 525a
Jenkintown, PA 19046-3721
Mailing address
242 Ironwood Cir
Elkins Park, PA 19027-1315
Phone (215) 915-3000
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS005000L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1497799381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 IRONWOOD CIR",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271315",
"telephone_number": "215-915-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 OLD YORK RD STE 525A",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463721",
"telephone_number": "215-915-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAYER",
"first_name": "HOLLIE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS005000L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.