Active NPI
Socorro Braganca, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1962053629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 010512
- Practice address
- 2 W 46TH St Ste 900
New York, NY 10036-4502 - Phone
- (914) 874-7338
- NPI assigned
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010512 | NY | Primary |
Addresses
Primary practice location
2 W 46TH St Ste 900
New York, NY 10036-4502
Mailing address
524 W 59TH Street
New Building, Room No L. 68
New York, NY 10019
Phone (914) 874-7338
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010512 | NY | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1962053629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 W 59TH STREET",
"address_2": "NEW BUILDING, ROOM NO L. 68",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "914-874-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W 46TH ST STE 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364502",
"telephone_number": "914-874-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGANCA",
"first_name": "SOCORRO",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2020-11-17",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "010512",
"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 Nov 17, 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.