Eric Robert Braen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002140 Issued in VA

Practice address

13801 Village Mill Dr Ste 105
Midlothian, VA 23114-4382

Phone

(804) 840-6184

Fax

(804) 592-2667

NPI assigned

Mar 27, 2007

Last updated

Jul 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Counseling & Diagnostic Services

  • Clinical Psychologist
  • Midlothian, VA
  • NPI 1194109371
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1952429722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 PEPPERHILL LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383835",
            "telephone_number": "804-840-6184",
            "fax_number": "804-592-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 VILLAGE MILL DR STE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144382",
            "telephone_number": "804-840-6184",
            "fax_number": "804-592-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAEN",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L Bradley, PA
• Stephanie Bradley
• Karen L Bradshaw, NP
• Mary Hill Bradshaw, PSY.D
• Jessica Brady, ATC
• Christine Marie Brandel, M.S., CCC-SLP
• Brandermill Eye Center, Optometry, Inc.
• Brandermill Pediatric & Adolescent Medicine PC
• Casey Renee Branson, M.S. SLP
• Ekaterina Bratysheva, MD

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.