DR. EMILY HERMANSON BRACKMAN PHD
NPI 1730799420
Psychologist in New York, NY

Active since August 06, 2020Opted out of Medicare · through Oct 19, 2026
20 E 68TH ST STE 201, NEW YORK, NY 10065(914) 715-5818 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Emily Hermanson Brackman Phd NPPES

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

DR. EMILY HERMANSON BRACKMAN PHD (NPI 1730799420) is an individual psychologist in New York, New York, licensed in New York (023824) and active in the NPI registry since August 2020. She has opted out of Medicare through October 19, 2026.

NPPES Registry Identity

NPI1730799420
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. EMILY HERMANSON BRACKMANCredential: PHD
Location Address20 E 68TH ST STE 201New York, NY 10065-5836
Mailing Address20 E 68th St Ste 201New York, NY 10065-5836
Sole ProprietorYes
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
NPI 1730799420 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 NY · 023824
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.
20 E 68TH ST STE 201, New York, NY 10065

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Emily Hermanson Brackman Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 19, 2020 through October 19, 2026.

Opt-Out Effective DateOctober 19, 2020
Opt-Out In Effect ThroughOctober 19, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Emily Brackman's NPI number?

The NPI number for Emily Brackman is 1730799420. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Emily Brackman located?

Emily Brackman practices at 20 E 68th St Ste 201, New York, NY 10065. The listed phone number is (914) 715-5818.

What is Emily Brackman's specialty?

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

Is Emily Brackman enrolled in Medicare?

No. Emily Brackman has opted out of Medicare through October 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Emily Brackman was last updated on August 6, 2020. 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.