Pamela Diane Bratton, PHD
Individual provider Active NPI Behavior Technician · Viera, FL
NPI 1811900525 · NPPES record last updated May 8, 2018
Key facts
- NPI
- 1811900525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8050 Spyglass Hill Rd
Wuesthoff Progressive Care Center
Viera, FL 32940 - Phone
- (321) 752-1000
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Total Life Inc
Abc Counseling LLC
Practice addresses (Care Compare)
110 Front St
Suite 300
Jupiter, FL 33477-5095
Phone (800) 567-5433
937 Dixon Blvd
Cocoa, FL 32922-6806
Phone (321) 446-2113
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061109000387 | FL | Practitioner - Clinical Psychologist | 1951309749 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current |
Accepting new patients | |
| Total Life FL PA | Clinical | Current |
Accepting new patients |
| Abc Counseling LLC | Current |
Accepting new patients | |
| Pamela D. Bratton, PH.D., P.a. | Past | Accepting new patients |
Locations
937 Dixon Blvd
Cocoa, FL 32922
Phone (321) 446-2113
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
1802 S Fiske Blvd
Ste 201
Rockledge, FL 32955
Phone (321) 446-2113
7095 Turner Rd
Rockledge, FL 32955
Phone (321) 446-2113
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY3631 | FL | |
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8050 Spyglass Hill Rd
Wuesthoff Progressive Care Center
Viera, FL 32940
Mailing address
383 Cypress Point Dr
Melbourne, FL 32940
Phone (321) 253-5890
Other names
- Mrs. Pamela Bratton Knapp
Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.