JACQUELINE BRACHT
NPI 1972351104
Peer Specialist in Deer Park, NY

Active since May 13, 2024
770 GRAND BLVD, DEER PARK, NY 11729(631) 392-4357 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Bracht NPPES

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

JACQUELINE BRACHT (NPI 1972351104) is an individual peer specialist in Deer Park, New York and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1972351104
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACQUELINE BRACHT
Location Address770 GRAND BLVDDeer Park, NY 11729-5750
Mailing Address394 Central Islip BlvdRonkonkoma, NY 11779-3909
Sole ProprietorYes
Enumeration DateMay 13, 2024
NPPES CertifiedMay 12, 2024
NPI 1972351104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

770 GRAND BLVD, Deer Park, NY 11729

Other Providers at the Same Location NPPES 20

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

Community/Behavioral Health
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Counselor
770 GRAND BLVD
DEER PARK, NY 11729
Social Worker (Clinical)
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Social Worker (Clinical)
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972351104, enumerated as an "individual" on May 13, 2024.

The provider is located at 770 GRAND BLVD DEER PARK, NY 11729 and the phone number is (631) 392-4357.

Peer Specialist with taxonomy code 175T00000X.