Active NPI
Andrea Mechanick Braverman, PH.D.
- Psychologist
- Morristown, NJ
National Provider Identifier
1922021245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-005298-L
- Practice address
- 111 Madison Ave
Suite 100
Morristown, NJ 07960-6097 - Phone
- (973) 656-2862
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PS-005298-L | PA | Primary |
Addresses
Primary practice location
111 Madison Ave
Suite 100
Morristown, NJ 07960-6097
Mailing address
834 Chestnut St
Suite 400
Philadelphia, PA 19107-5127
Phone (215) 955-9216
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005298-L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1922021245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 CHESTNUT ST",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075127",
"telephone_number": "215-955-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MADISON AVE",
"address_2": "SUITE 100",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606097",
"telephone_number": "973-656-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVERMAN",
"first_name": "ANDREA",
"middle_name": "MECHANICK",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-005298-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.