Individual provider Active NPI

Lisa Braun, PSYD

  • Psychologist
  • Schenectady, NY
National Provider Identifier
1972604890
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1401 Union Street
Psychology Suite
Schenectady, NY 12308-3009
Phone
(518) 381-4105
Fax
(518) 381-4096
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NY Primary

Addresses

Primary practice location

1401 Union Street
Psychology Suite
Schenectady, NY 12308-3009

Mailing address

1401 Union Street
Psychology Suite
Schenectady, NY 12308-3009
Phone (518) 381-4105

Other identifiers 5

IdentifierTypeStateIssuer
41333OtherNYMVP
6802195003OtherVALUE OPTIONS NYS EMPIRE
137187OtherNYVALUE OPTIONS CDPHP
0114C3OtherNYAPA PARTNERS
000490441001OtherBS NE NY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050406000892 NY Practitioner - Clinical Psychologist 4486601960 Practice locations: Clifton Park, NY
I20240126000163 DE Practitioner - Clinical Psychologist 4486601960 Practice locations: Frankford, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

36148 Windsor Park Dr
Frankford, DE 19945-4091
Phone (518) 381-4105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011463NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1972604890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 UNION STREET",
            "address_2": "PSYCHOLOGY SUITE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083009",
            "telephone_number": "518-381-4105",
            "fax_number": "518-381-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 UNION STREET",
            "address_2": "PSYCHOLOGY SUITE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083009",
            "telephone_number": "518-381-4105",
            "fax_number": "518-381-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "41333",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS NYS EMPIRE",
            "identifier": "6802195003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS CDPHP",
            "identifier": "137187",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA PARTNERS",
            "identifier": "0114C3",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NE NY",
            "identifier": "000490441001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.