Amy Brausch, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1714 Issued in KY

Practice address

1215 High St
Bowling Green, KY 42101-2541

Phone

(270) 782-1116

NPI assigned

Apr 4, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Chestnut Park Professionals, LLC

  • Psychologist
  • Bowling Green, KY
  • NPI 1265574396
  NPD (past)

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1700129079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HIGH ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012541",
            "telephone_number": "270-782-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HIGH ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012541",
            "telephone_number": "270-782-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUSCH",
        "first_name": "AMY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beau John Brasseale, D.D.S., M.S.D.
• Nadia Brassell, PTA
• Cynthia M. Bratcher, MSN, APRN, FNP-C
• Erin Danielle Bratcher, DPT
• Crystal Braun, LCSW
• Rhonda Keen Bray, O.D.
• Breiwa Ware & Jeskie PSC
• John Norbert Breiwa, O.D.
• James Evan Brewer, LPCA
• Haley Brewster, APRN

• Clinical Psychologist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.