DR. LISA BRACAMONTE PSY D
NPI 1548030745
Psychologist in West Caldwell, NJ

Active since January 08, 2024
14 WASHINGTON AVE, WEST CALDWELL, NJ 07006(862) 926-8476 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Bracamonte Psy D NPPES

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

DR. LISA BRACAMONTE PSY D (NPI 1548030745) is an individual psychologist in West Caldwell, New Jersey, licensed in New Jersey (35S100697200) and active in the NPI registry since January 2024. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1548030745
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA BRACAMONTECredential: PSY D
Location Address14 WASHINGTON AVEWest Caldwell, NJ 07006-7704
Mailing Address14 Washington AveWest Caldwell, NJ 07006-7704 · (862) 926-8476
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
NPI 1548030745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 35S100697200
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
14 WASHINGTON AVE, West Caldwell, NJ 07006

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lisa Bracamonte Psy D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941715247
PECOS Enrollment IDI20250715004117

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 Lisa Bracamonte's NPI number?

The NPI number for Lisa Bracamonte is 1548030745. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Lisa Bracamonte located?

Lisa Bracamonte practices at 14 Washington Ave, West Caldwell, NJ 07006. The listed phone number is (862) 926-8476.

What is Lisa Bracamonte's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lisa Bracamonte enrolled in Medicare?

Yes. Lisa Bracamonte is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Bracamonte was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.