NPIMap

Organization Active NPI

Brayton Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glens Falls, NY
National Provider Identifier
1578336293
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRAYTON PSYCHOLOGICAL SERVICES
Practice address
92 Bay St
Glens Falls, NY 12801-3031
Phone
(518) 480-3188
NPI assigned
Nov 3, 2023
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Kimberly Joy Brayton, JD,PH.D.NPI 1295725893
Title
Owner
Phone
(518) 792-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

92 Bay St
Glens Falls, NY 12801-3031

Mailing address

92 Bay St
Glens Falls, NY 12801-3031
Phone (518) 480-3188

Other practice location 1

8 Baywood Dr
Queensbury, NY 12804-5821
Phone (518) 480-3188

Other identifiers 1

IdentifierTypeStateIssuer
02694246MedicaidNY

National Provider Directory

National Provider Directory

Locations

92 Bay St
Glens Falls, NY 12801
Phone (518) 636-3778

8 Baywood Dr
Queensbury, NY 12804
Phone (518) 480-3188

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1578336293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013031",
            "telephone_number": "518-480-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013031",
            "telephone_number": "518-480-3188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Baywood Dr",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128045821",
            "country_code": "US",
            "telephone_number": "518-480-3188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAYTON PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BRAYTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-792-9100",
        "authorized_official_credential": "JD,PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.