Organization Active NPI

Brand Therapy Psychological Services PC

  • Health Psychologist
  • New York, NY
National Provider Identifier
1962023168
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
BRAND THERAPY PSYCHOLOGICAL SERVICES PC
Practice address
50 West 39TH St
Suite 305
New York, NY 10018
Phone
(917) 677-9070
Fax
(917) 725-8044
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Dr. Juraci Maria Lopes Da Silva, PHD
Title
President
Phone
(917) 903-5067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X Primary

Addresses

Primary practice location

50 West 39TH St
Suite 305
New York, NY 10018

Mailing address

50 West 39TH St
Suite 305
New York, NY 10018
Phone (917) 677-9070

National Provider Directory

National Provider Directory

Locations

50 W 39TH St
Ste 305
New York, NY 10018
Phone (917) 677-9070

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1962023168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WEST 39TH ST",
            "address_2": "SUITE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "917-677-9070",
            "fax_number": "917-725-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WEST 39TH ST",
            "address_2": "SUITE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "917-677-9070",
            "fax_number": "917-725-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND THERAPY PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "LOPES DA SILVA",
        "authorized_official_first_name": "JURACI",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-903-5067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.