Individual provider Active NPI

Devra Lynn Braun, M. D.

  • Psychiatry Physician
  • Greenwich, CT
National Provider Identifier
1699894949
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
035318 Issued in CT
Practice address
360 W Putnam Ave
Integrative Medicine and Psychotherapy of Greenwich LLC
Greenwich, CT 06830-5233
Phone
(203) 622-2394
Fax
(203) 622-2396
NPI assigned
Mar 28, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 035318 CT Primary
Psychiatry Physician 2084P0800X 171049 NY

Addresses

Primary practice location

360 W Putnam Ave
Integrative Medicine and Psychotherapy of Greenwich LLC
Greenwich, CT 06830-5233

Mailing address

360 W Putnam Ave
Integrative Medicine and Psychotherapy of Greenwich LLC
Greenwich, CT 06830-5233
Phone (203) 622-2394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035318CTMDPsychiatry Physician
171049NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Medicine and Psychotherapy of Greenwich LLC Psychiatry Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699894949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W PUTNAM AVE",
            "address_2": "INTEGRATIVE MEDICINE AND PSYCHOTHERAPY OF GREENWICH LLC",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305233",
            "telephone_number": "203-622-2394",
            "fax_number": "203-622-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W PUTNAM AVE",
            "address_2": "INTEGRATIVE MEDICINE AND PSYCHOTHERAPY OF GREENWICH LLC",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305233",
            "telephone_number": "203-622-2394",
            "fax_number": "203-622-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "DEVRA",
        "middle_name": "LYNN",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "035318",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "171049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.