Active NPI
Raymond Braunstein, PH.D.
- Clinical Psychologist
- Willow Grove, PA
National Provider Identifier
1992802029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS002272L
- Practice address
- 415 Davisville Rd
Willow Grove, PA 19090-2700 - Phone
- (215) 659-7501
- Fax
- (215) 322-1596
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS002272L | PA | Primary |
Addresses
Primary practice location
415 Davisville Rd
Willow Grove, PA 19090-2700
Mailing address
415 Davisville Rd
Willow Grove, PA 19090-2700
Phone (215) 659-7501
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049146000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 027127 | Other | PA | HIGHMARK |
| 4594800 | Other | PA | AETNA |
| J27127 | Other | PA | AMERIHEALTH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002272L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond Braunstein PH.D., PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Willow Grove, PA
- NPI 1548239841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992802029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 DAVISVILLE RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190902700",
"telephone_number": "215-659-7501",
"fax_number": "215-322-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 DAVISVILLE RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190902700",
"telephone_number": "215-659-7501",
"fax_number": "215-322-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNSTEIN",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS002272L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0049146000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "027127",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4594800",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "J27127",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.