Active NPI
Julia Braun, PSY.D.
- Clinical Psychologist
- East Northport, NY
National Provider Identifier
1508802943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014023-1
- Practice address
- 423 Clay Pitts Rd
East Northport, NY 11731-3801 - Phone
- (631) 423-3200
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014023-1 | NY | Primary |
Addresses
Primary practice location
423 Clay Pitts Rd
East Northport, NY 11731-3801
Mailing address
1 Old Country Rd
Suite 271
Carle Place, NY 11514-1801
Phone (800) 725-6280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02063981 | Medicaid | NY |
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 |
|---|---|---|---|
| 014023-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508802943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLD COUNTRY RD",
"address_2": "SUITE 271",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141801",
"telephone_number": "800-725-6280",
"fax_number": "800-725-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 CLAY PITTS RD",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313801",
"telephone_number": "631-423-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "JULIA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014023-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02063981",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.