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PATRESA R BRAGER PH.D.
NPI 1043236573
Psychologist - Clinical in Peoria, IL

Active since July 15, 2006
515 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-6724(309) 655-4408 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patresa R Brager Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRESA R BRAGER PH.D. (NPI 1043236573) is an individual clinical provider in Peoria, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043236573
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePATRESA R BRAGERCredential: PH.D.
Location Address515 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000 · Fax (309) 655-7869
Phone(309) 655-6724
Fax(309) 655-4408
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043236573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
515 NE GLEN OAK AVE, Peoria, IL 61637
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Other Identifiers 4

Other207414Medicare Group No.
Medicare ID-Type UnspecifiedK13784Individual Medical Group
Medicare UPINQ32939
Medicare ID-Type UnspecifiedK19385

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN JOSEPH RICHTER PSY.D.
Clinical Neuropsychologist
515 NE GLEN OAK AVE, SUITE 101
PEORIA, IL 61637
Peoria County (309) 655-7378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patresa Brager's NPI number?

The NPI number for Patresa Brager is 1043236573. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Patresa Brager located?

Patresa Brager practices at 515 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-6724.

What is Patresa Brager's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Patresa Brager was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.