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JAYNE A. BRADEN PSYD NPI 1548301443


NPI Information

NPI: 1548301443
Provider Name: JAYNE A. BRADEN, PSYD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2580 DEKALB AVE.
SUITE C
SYCAMORE, IL
ZIP 60178
Phone: (815) 787-9000
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Jayne A. Braden, PSYD is a mental health counselor in Sycamore, IL with 25 years of experience. Jayne A. Braden, PSYD NPI is 1548301443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2580 DEKALB AVE.
SUITE C
SYCAMORE, IL
ZIP 60178-158
Phone: (815) 787-9000
Fax: (815) 787-9015

The NPI 1548301443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health07.1006120ILLINOISYes
2101YM0800XCounselorMental Health07100612ILLINOISNo
3103T00000XPsychologist07.1006120ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.