Individual provider Active NPI

Brenda Bauer Eischen, PSYD

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1659584316
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
329 E 62ND St
New York, NY 10021-7705
Phone
(212) 838-4333
Fax
(212) 838-7158
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

329 E 62ND St
New York, NY 10021-7705

Mailing address

500 E 77TH St
Apt 1908
New York, NY 10162-0025
Phone (212) 864-0838

Other names 1

  • Brenda Bauer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 14, 2025 through Jun 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659584316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 77TH ST",
            "address_2": "APT 1908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101620025",
            "telephone_number": "212-864-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217705",
            "telephone_number": "212-838-4333",
            "fax_number": "212-838-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISCHEN",
        "first_name": "BRENDA",
        "middle_name": "BAUER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BAUER",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.