DR. CASSANDRA BRAAM (NPI# 1174679344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174679344 |
Entity Type | Individual |
Full Name | DR. CASSANDRA BRAAM |
Credential | PH.D. |
Practice Address |
345 Milwaukee Ave Burlington WI 53105-1228 |
Mailing Address |
Po Box 391 Burlington WI 53105-0391 |
Practice Telephone | 2627639191 |
Practice Fax Number | 2627637767 |
Enumeration Date | 2007-01-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1977-057 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39651300 | 05 |
Street Address |
345 MILWAUKEE AVE |
City | BURLINGTON |
State | WI |
Zip Code | 53105-1228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508896606 | David William Thompson | Psychologist | 345 Milwaukee Ave, Burlington, WI 53105-1228 | 2006-07-04 |
1780101295 | Carmen Angelina Leonard | Social Worker | 345 Milwaukee Ave, Burlington, WI 53105-1228 | 2017-08-25 |
1316461478 | Aubrey Elizabeth Thompson | Social Worker | 345 Milwaukee Ave, Burlington, WI 53105-1228 | 2017-07-31 |
1477883023 | Amelia Beth Brost | Psychologist | 345 Milwaukee Ave, Burlington, WI 53105-1228 | 2010-01-04 |
1619156502 | David W. Thompson | Psychologist | 345 Milwaukee Ave, Burlington, WI 53105-1228 | 2007-10-29 |
1396866059 | Anna Teresa Evans | Counselor | 345 Milwaukee Ave, Burlington, WI 53105-1228 | 2007-04-02 |
1568502532 | Paula K Cooper | Psychologist | 345 Milwaukee Ave, Burlington, WI 53105-1228 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
Find all providers in zip 53105 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119412 | Krista Reincke, Psy.d., LLC | Psychologist | 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 | 2020-06-19 |
1346706322 | Adoria Senning | Psychologist | 1 Main St Ste 308, Burlington, VT 05401-8480 | 2019-02-14 |
1104215243 | Alexandra Mizrahi | Psychologist | 148 College St Ste 202c, Burlington, VT 05401-8476 | 2015-01-13 |
1437394129 | Neil R Metzner | Psychologist | 851 Pine Street, Burlington, VT 05401-3898 | 2008-12-09 |
1710183801 | Ene Piirak | Psychologist | 196 Battery St, Burlington, VT 05401-5287 | 2007-06-25 |
1407972334 | Mary Ellen Atkins | Psychologist | 92 Adams Street, Burlington, VT 05401 | 2007-03-22 |
1326179078 | Stephanie Joy Katzman | Psychologist | 101 Cambridge St Ste 230, Burlington, MA 01803-3767 | 2007-03-07 |
1902935372 | William M. Butler | Psychologist | 125 College St, Burlington, VT 05401-8444 | 2007-03-03 |
1952442907 | Valerie Ruth Padgett | Psychologist | 2971 Crouse Ln Ste D, Burlington, NC 27215-8446 | 2007-02-12 |
1821153594 | Tim Caufield, Phd LLC | Psychologist | 484 N Pine St, Burlington, WI 53105-1417 | 2006-12-23 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 53105 |
Please comment or provide details below to improve the information on DR. CASSANDRA BRAAM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.