- Practice location
- 2799 W Grand Blvd, Detroit, MI 48202-2689
- Phone
- 313-916-2600
- Fax
- —
- Last updated
- March 28, 2018
Jordan M. Braciszewski is a Psychologist based in Detroit, MI. Jordan M. Braciszewski practices in Detroit, MI and has the professional credentials of PHD. The NPI Number for Jordan M. Braciszewski is 1891093399 and holds a License No. 6301016725 (MI). The current practice location address for Jordan M. Braciszewski is 2799 W Grand Blvd, Detroit, MI 48202-2689 and can be reached out via phone at 313-916-2600.
Provider Profile Details
- NPI Number
- 1891093399
- Provider Name
- Jordan M. Braciszewski
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2799 W Grand Blvd, Detroit, MI 48202-2689
- Phone Number
- 313-916-2600
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 8, 2011
- Last Update Date
- March 28, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2799 W Grand Blvd
Detroit, MI 48202-2689 - City
- Detroit
- State
- Michigan
- Zip
- 48202-2689
- Phone Number
- 313-916-2600
Provider Business Mailing Address Details
- Address
- 50 Health Ln
Warwick, RI 02886-2711 - City
- Warwick
- State
- RI
- Zip
- 02886-2711
- Phone Number
- 401-732-5656
- Fax Number
- 401-738-8634
License Information
- License Number
- 6301016725
- License State
- MI
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jordan M Braciszewski, PHD?
The NPI number of Jordan M Braciszewski, PHD is 1891093399. It was assigned on March 8, 2011 and is currently active in the NPPES registry.
What is the specialty of Jordan M Braciszewski, PHD?
Jordan M Braciszewski, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MI under license number 6301016725.
Where does Jordan M Braciszewski, PHD practice?
The practice location is 2799 W Grand Blvd, Detroit, MI 48202-2689. The office can be reached at 313-916-2600 (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 1891093399 directly on the NPPES registry website.