Mara J. Brandon

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

085699 Issued in NY

Legal business name

MARA J. BRANDON

Practice address

310 W End Ave Apt 1-C
New York, NY 10023-8146

Phone

(646) 632-5377

NPI assigned

Nov 21, 2017

Last updated

Nov 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mara J Brandon, LCSW, CASACNPI 1891123907

Title

Licensed Clinical Social Worker

Phone

(646) 632-5377

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mara J Brandon, LCSW, CASAC 2

  • Clinical Social Worker
  • New York, NY
  • NPI 1891123907
  Authorized official Same address or phone

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1942714308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W END AVE APT 1-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238146",
            "telephone_number": "646-632-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W END AVE APT 1-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238146",
            "telephone_number": "646-632-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA J. BRANDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "646-632-5377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CASAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "085699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Mar, M.S.P.T.
• Elizabeth Mar
• Jenny Hiu-Chiu Mar, O.D.
• Katherine Mary Mar, PNP
• Yonina Mar, MBBS
• Emily Mara, DNP
• Rezana Mara, MD
• Krystyna Marable, M.D.
• Reema George Maracheril
• Rijo Maracheril, MD

• Community/Behavioral Health Agency in New York, NY
• Providers in New York, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.