Individual provider Active NPI

Abby Braden, PH.D.

  • Clinical Psychologist
  • Bowling Green, OH
National Provider Identifier
1730502014
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7394 Issued in OH
Practice address
Department of Psychology Bowling Green State
Bowling Green, OH 43403-3021
Phone
(419) 372-9405
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7394 OH Primary

Addresses

Primary practice location

Department of Psychology Bowling Green State
Bowling Green, OH 43403-3021

Mailing address

Department of Psychology
Bowling Green State University
Bowling Green, OH 43403
Phone (419) 372-9405

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abby.braden.p1@direct.whc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200323001630 OH Practitioner - Clinical Psychologist 4385072586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Health Company LLCGroup PAC ID 7911800461, 61 clinicians

Practice addresses (Care Compare)

970 W Wooster St
RM 222
Bowling Green, OH 43402-2662
Phone (419) 373-7699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7394OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Health Company LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

960 W Wooster St
Ste 116
Bowling Green, OH 43402
Phone (419) 373-7699

970 W Wooster St
Rm 222
Bowling Green, OH 43402
Phone (419) 352-1519

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: abby.braden.p1@direct.whc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730502014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHOLOGY",
            "address_2": "BOWLING GREEN STATE UNIVERSITY",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43403",
            "telephone_number": "419-372-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHOLOGY BOWLING GREEN STATE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434033021",
            "telephone_number": "419-372-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "ABBY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abby.braden.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "970 W Wooster St Rm 222",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.