Active NPI
Laura Brofka, M.A.
- School Psychologist
- Smithtown, NY
National Provider Identifier
1942555834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1285017
- Practice address
- 278 E Main St
Smithtown, NY 11787-2915 - Phone
- (631) 361-6960
- Fax
- (631) 366-5346
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1285017 | NY | Primary |
Addresses
Primary practice location
278 E Main St
Smithtown, NY 11787-2915
Mailing address
278 E Main St
Smithtown, NY 11787-2915
Phone (631) 361-6960
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1285017 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1942555834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872915",
"telephone_number": "631-361-6960",
"fax_number": "631-366-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872915",
"telephone_number": "631-361-6960",
"fax_number": "631-366-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROFKA",
"first_name": "LAURA",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1285017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.