DR. JEFFREY IAN BRAGMAN (NPI# 1841276599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841276599 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY IAN BRAGMAN |
| Credential | PH.D. |
| Practice Address |
974 Ralston Ave Suite 10 Belmont CA 94002-2252 |
| Mailing Address |
412 Cedar St San Carlos CA 94070-2163 |
| Practice Telephone | 8003532761 |
| Practice Fax Number | 6505914773 |
| Mailing Telephone | 6505914331 |
| Mailing Fax Number | 6505914773 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY5659 | CA | Behavioral Health & Social Service Providers |
| Street Address |
974 RALSTON AVE SUITE 10 |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801867353 | Joseph D. Fama | Marriage & Family Therapist | 974 Ralston Ave, Suite 10, Belmont, CA 94002-2252 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755398 | Jessica L Lazar Schwartz | Psychologist | 115 Mill St # Ms 238, Belmont, MA 02478-1064 | 2020-06-24 |
| 1700371747 | Rachel Faye Bruno | Psychologist | 220 Lewis Road, Belmont, MA 02478-3833 | 2018-06-22 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1659861870 | Jeffrey Paul Miner | Psychologist | 36 Broad St, Belmont, MA 02478-3206 | 2018-05-14 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| 1699090357 | Emily E Manove | Psychologist | 25 Flanders Rd, Belmont, MA 02478-4066 | 2010-04-06 |
| 1851537773 | Emily R. Wildman, Psy.d., LLC | Psychologist | 2824 Alhambra Dr, Belmont, CA 94002-1352 | 2008-12-23 |
| 1942497565 | Michele Candrian | Psychologist | 115 Mill Street, Mclean Hospital, North Belknap 1, Belmont, MA 02428 | 2007-09-27 |
| 1790902443 | Elizabeth M Rizzo | Psychologist | 1200 Sixth Ave, Belmont, CA 94002-3856 | 2007-04-20 |
| Find all providers in BELMONT | ||||
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| 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.