Herman Harrison Braxton III, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016881-1 Issued in NY

Practice address

7 Wells St
Ste 201
Saratoga Springs, NY 12866-5861

Phone

(518) 587-4161

Fax

(518) 587-5134

NPI assigned

Sep 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological Services

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1790972834
  NPD

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1891945986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WELLS ST",
            "address_2": "STE 201",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665861",
            "telephone_number": "518-587-4161",
            "fax_number": "518-587-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WELLS ST",
            "address_2": "STE 201",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665861",
            "telephone_number": "518-587-4161",
            "fax_number": "518-587-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "HERMAN",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "016881-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016881-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Bradley, REGISTERED NURSE
• Branch Medical Clinic Saratoga Springs
• Jenny Brandt
• Enrico Bravo, M.D.
• Elisabeth Braxton, LMHC
• Caroline Elizabeth Breen, PHARMD
• Stephanie Ann Breeyear, RN
• Tracey Lynn Brennan, M.D
• Kristin Brenner, LMSW
• Brian P. McDermott, D.O., P.C.

• Clinical Psychologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.