DR. MARY ELIZABETH BRADDOCK PH.D.
NPI 1508435223
Psychologist - Clinical in New York, NY

Q: What is Mary Braddock's NPI number?

The NPI number for Mary Braddock is 1508435223. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Q: What is Mary Braddock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Braddock was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 18, 2021

19 E 98TH ST, NEW YORK, NY 10029(201) 240-5538 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2021, Jun 18, 2021 (2 updates tracked since 2021).

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About Dr. Mary Elizabeth Braddock Ph.d. NPPES

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

DR. MARY ELIZABETH BRADDOCK PH.D. (NPI 1508435223) is an individual clinical provider in New York, New York, licensed in New York (024102) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1508435223

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY ELIZABETH BRADDOCKCredential: PH.D.

Location Address19 E 98TH STNew York, NY 10029-6501

Mailing Address2611 Frederick Douglass Blvd Apt 4eNew York, NY 10030-3498 · (201) 240-5538

Phone(201) 240-5538

Sole ProprietorNo

Enumeration DateJune 18, 2021

Last NPPES UpdateJune 28, 20212 updates tracked since enumeration

NPPES CertifiedJune 28, 2021

✔ NPI 1508435223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 024102

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.

19 E 98TH ST, New York, NY 10029

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Other Providers at the Same Location NPPES 9

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

DANIELLE AUSLANDER PSY.D.

Psychologist (Clinical)

19 E 98TH ST, SUITE 5D
NEW YORK, NY 10029

New York County (212) 241-6127

RACHEL COOPERSTOCK MPH, RD, CDN

Dietitian, Registered

19 E 98TH ST
NEW YORK, NY 10029

New York County (212) 241-4842

JENCY ELIZABETH GEORGE PA-C

Physician Assistant

19 E 98TH ST
NEW YORK, NY 10029

New York County (212) 241-6500

NATALIE MARIE LUCAS FNP-BC

Nurse Practitioner (Family)

19 E 98TH ST
NEW YORK, NY 10029

New York County (929) 489-5016

MS. KIRSTEN RUTHERFORD RN

Registered Nurse

19 E 98TH ST, SUITE 9D BOX 1078
NEW YORK, NY 10029

New York County (212) 241-8303

DR. HENRY S SACKS MD

Internal Medicine (Infectious Disease)

19 E 98TH ST, BOX 1042
NEW YORK, NY 10029

New York County (212) 241-7856

MR. MURRAY LIPP LCSW

Social Worker (Clinical)

19 E 98TH ST
NEW YORK, NY 10029

New York County (212) 241-6800

KARYN J LONDON PA

Physician Assistant (Medical)

19 E 98TH ST, BOX 1125
NEW YORK, NY 10029

New York County (212) 241-7780

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 Mary Braddock's NPI number?

The NPI number for Mary Braddock is 1508435223. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Mary Braddock located?

Mary Braddock practices at 19 E 98th St, New York, NY 10029. The listed phone number is (201) 240-5538.

What is Mary Braddock'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 Mary Braddock was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.