Bradley M Hercman, PSY

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

160 Van Wyck Rd
Blauvelt, NY 10913-1229

Phone

(845) 680-1025

NPI assigned

Jun 24, 2013

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• South Orangetown Central School District

  • Local Education Agency (LEA)
  • Blauvelt, NY
  • NPI 1598812364
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1932548955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 VAN WYCK RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 VAN WYCK RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131229",
            "telephone_number": "845-680-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCMAN",
        "first_name": "BRADLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Goldrick
• Lorraine Guarino-Minassian, PT, CSCS
• Virginia Rose Hall-Apicella, PH.D.
• Ynez Hansard, LMT
• Chelsea Hart, RDN
• Danielle Hughes, LCSW
• Olga Miriam Iglesias, DDS
• Integrative Body Balance Physical Therapy PLLC
• Joan Arnold, LCSW, P.C.
• Jr Chiropractic PLLC

• Clinical Child & Adolescent Psychologist in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.