Emily Branscum, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27538 Issued in CA

Practice address

22036 Montgomery Rd
Sonora, CA 95370-9657

Phone

(209) 765-6867

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1659819712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22036 MONTGOMERY RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22036 MONTGOMERY RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709657",
            "telephone_number": "209-765-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSCUM",
        "first_name": "EMILY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-00-0083",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Slim Bouchoucha, D.D.S.,M.S.
• William Stuart Bowie, M.D.
• James Ivy Boyd III, MD
• Suzanne Lee Boynton, D.D.S.
• Chrystal Anastasia Lucretia Bradley, M.D.
• Karen A Brasesco, P.T.
• Brett C Lockman DO Medical Corporation (Sierra Biotensegrity)
• Barbara Laura Briner
• Dan Briseno
• Leslie M Brocchini, MD

• Psychologist in Sonora, CA
• Providers in Sonora, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.