Active NPI
Brain Raab, PSYD.
- Psychologist
- Warners, NY
National Provider Identifier
1841655792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 021456
- Practice address
- 106 Owls Nest Way
Warners, NY 13164-3777 - Phone
- (315) 708-7125
- NPI assigned
- Dec 19, 2015
- Last updated
- Apr 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 021456 | NY | Primary |
Addresses
Primary practice location
106 Owls Nest Way
Warners, NY 13164-3777
Mailing address
106 Owls Nest Way
Warners, NY 13164-3777
Phone (315) 708-7125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1841655792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 OWLS NEST WAY",
"city": "WARNERS",
"state": "NY",
"postal_code": "131643777",
"telephone_number": "315-708-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 OWLS NEST WAY",
"city": "WARNERS",
"state": "NY",
"postal_code": "131643777",
"telephone_number": "315-708-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAAB",
"first_name": "BRAIN",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-19",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "021456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warners, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.