Pamela Ann Brazelton-Sykes, MA, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

Pioneer Gardens Supportive Living
3800 S King Dr
Chicago, IL 60653

Phone

(773) 420-3481

Fax

(773) 420-3597

NPI assigned

Apr 30, 2020

Last updated

Apr 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Master of Arts, Master of Science

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.

• Autumn Healthcare of Illinois

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1679628705
  Authorized official Same address or phone

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1881215804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E 53RD ST # 911",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154573",
            "telephone_number": "708-420-0225",
            "fax_number": "773-420-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PIONEER GARDENS SUPPORTIVE LIVING",
            "address_2": "3800 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60653",
            "telephone_number": "773-420-3481",
            "fax_number": "773-420-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELTON-SYKES",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "MA, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fraces Bray
• Kelly Bray
• Molly A Bray, RD,LD
• Dana Brazdziunas, MD
• Adam James Braze, D.O.
• Gabrielle Brazg, PT, DPT
• Nicole Brazg, NP
• Anisa Brazier, MA, QMHP
• Marsha Jane Brazley, M.D.
• Jelena Brdarski

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.