Active NPI
Gregory Brasco, PSY.D.
- Clinical Psychologist
- Downingtown, PA
National Provider Identifier
1902163371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 172Y1681
- Practice address
- 1229 Delaware LN
Downingtown, PA 19335-3838 - Phone
- (610) 453-5117
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 172Y1681 | PA | Primary |
| School Psychologist | 103TS0200X | PA |
Addresses
Primary practice location
1229 Delaware LN
Downingtown, PA 19335-3838
Mailing address
1229 Delaware LN
Downingtown, PA 19335-3838
Phone (610) 453-5117
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172Y1681 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1902163371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 DELAWARE LN",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193353838",
"telephone_number": "610-453-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 DELAWARE LN",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193353838",
"telephone_number": "610-453-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASCO",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "172Y1681",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downingtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.