KATHERINE LEE BRACKEN (NPI# 1780017558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780017558 |
| Entity Type | Individual |
| Full Name | KATHERINE LEE BRACKEN |
| Credential | PH.D. |
| Practice Address |
1901 N Harrison Ave Ste 100 Cary NC 27513-5597 |
| Practice Telephone | 9196770101 |
| Practice Fax Number | 9196770113 |
| Mailing Telephone | 9196770101 |
| Mailing Fax Number | 9196770113 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4709 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3010 Falstaff Rd, Raleigh, NC 276101813 | 9195736520 | 9195736555 |
| Federal Correctional Institution (fci-i) Butner, Old Hwy 75, Butner, NC 27509 | (919) 575-4541 |
| Street Address |
1901 N HARRISON AVE STE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27513-5597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871824151 | Justin M Parker | Psychologist | 1901 N Harrison Ave Ste 100, Cary, NC 27513-5597 | 2010-01-26 |
| 1780213843 | Jessica Hayden | Psychologist | 1901 N Harrison Ave Ste 100, Cary, NC 27513-5597 | 2020-04-02 |
| 1306321203 | Lynne Wilson Taylor | Psychologist | 1901 N Harrison Ave Ste 100, Cary, NC 27513-5597 | 2018-09-27 |
| 1467704916 | Aja Mae Cann | Social Worker | 1901 N Harrison Ave Ste 100, Cary, NC 27513-5597 | 2012-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
| 1376931071 | Kristen Valus | Psychologist | 501 Keisler Drive, Suite 204, Cary, NC 27518 | 2015-01-03 |
| 1467853820 | Laura A. Monti Phd Psyd PC | Psychologist | 720 Cimarron Dr, Cary, IL 60013-3354 | 2014-09-04 |
| 1174968879 | Winds of Change, LLC | Psychologist | 212 Crystal St, Suite D, Cary, IL 60013-2092 | 2013-05-08 |
| 1508146952 | Amanda Eliza Seavey | Psychologist | 421 Nickel Creek Cir, Cary, NC 27519-6966 | 2011-08-17 |
| 1245534874 | Tamara Dawn Denbesten | Psychologist | 222 E Chatham St, Cary, NC 27511-3458 | 2010-12-22 |
| 1275779571 | Western Wake Counseling & Psychological Services, Pllc | Psychologist | 8000 Regency Pkwy, Suite 570, Cary, NC 27518-8582 | 2008-12-17 |
| 1225214737 | Elizabeth Mcgee Martin | Psychologist | 201 Shannon Oaks Cir, Ste 200, Cary, NC 27511-5570 | 2008-01-14 |
| 1215116157 | John A. Anderson, Psy.d., Inc. | Psychologist | 501 Pinner Weald Way, Suite 201, Cary, NC 27513-2610 | 2007-10-28 |
| 1427255116 | Kristin A Krippa | Psychologist | 130 Iowa Ln Ste 201, Cary, NC 27511-4494 | 2007-06-27 |
| Find all providers in CARY | ||||
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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.