DR. LISA BRACAMONTE PSY D
NPI 1548030745
Psychologist in West Caldwell, NJ
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.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lisa Bracamonte Psy D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Bracamonte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Lisa Bracamonte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bracamonte reassigns Medicare benefits to Corner Psychological Services LLC (Livingston, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Bracamonte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.