Michelle Braymiller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

108500-01 Issued in NY

Practice address

356 Main St E
Randolph, NY 14772-9696

Phone

(716) 529-1148

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Directions Youth & Family Services Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lockport, NY
  • NPI 1104010347
  NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1568093029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MAIN ST E",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147729696",
            "telephone_number": "716-529-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 MAIN ST E",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147729696",
            "telephone_number": "716-529-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYMILLER",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "108500-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Adams
• Alice Alessi, MS; CCC-SLP
• Angela M Blood
• Kathleen Janet Bushnell, COTA
• Suzette Elizabeth Carnahan, LCSW
• Crystal Casel, LMHC
• Andrew Chapman
• Sarah E. Collins, LPN

• Mental Health Counselor in Randolph, NY
• Providers in Randolph, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.