Active NPIIndividual providerSole proprietor

Dr. Elisa Brunelle, PSYD

Psychologist, Clinical in Ny, New York

NPI Number1477075042
Practice location
1133 Broadway, Suite 811, Ny, NY 10010
Fax
—
Last updated
July 14, 2017

Elisa Brunelle is a Psychologist, Clinical based in Ny, NY. Elisa Brunelle practices in Ny, NY and has the professional credentials of PSYD. The NPI Number for Elisa Brunelle is 1477075042 and holds a License No. 014967-1 (NY). The current practice location address for Elisa Brunelle is 1133 Broadway, Suite 811, Ny, NY 10010 and can be reached out via phone at 201-978-5900.

Provider Profile Details

NPI Number
1477075042
Provider Name
Elisa Brunelle
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1133 Broadway, Suite 811, Ny, NY 10010
Phone Number
201-978-5900
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 14, 2017
Last Update Date
July 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1133 Broadway
Suite 811
Ny, NY 10010
City
Ny
Zip
10010
Phone Number
201-978-5900
Ny, NY 10010Get directions →

Provider Business Mailing Address Details

Address
1133 Broadway Ste 811
New York, NY 10010-8307
City
New York
State
NY
Zip
10010-8307

License Information

License Number
014967-1
License State
NY
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elisa Brunelle, PSYD?

The NPI number of Dr. Elisa Brunelle, PSYD is 1477075042. It was assigned on July 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Elisa Brunelle, PSYD?

Dr. Elisa Brunelle, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 014967-1.

Where does Dr. Elisa Brunelle, PSYD practice?

The practice location is 1133 Broadway, Suite 811, Ny, NY 10010. The office can be reached at 201-978-5900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477075042 directly on the NPPES registry website.

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