WILLIAM A. BRYSON-BROCKMANN PH.D. NPI 1730251968

NPI Information

  • NPI: 1730251968
  • Provider Name: WILLIAM A. BRYSON-BROCKMANN, PH.D.
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: 222 STATION PLZ N
    SUITE 611
    MINEOLA, NY
    ZIP 11501
  • Phone: (516) 663-4432

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NPI Details

William A. Bryson-brockmann, PH.D. is an intellectual and developmental disabilities in Mineola, NY. William A. Bryson-brockmann, PH.D. NPI is 1730251968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 STATION PLZ N
SUITE 611
MINEOLA, NY
ZIP 11501-808
Phone: (516) 663-4432
Fax: (516) 663-4409

The enumeration date for this NPI number is 11/14/2006 and was last updated on 9/11/2025.

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
1103T00000XPsychologist009669NEW YORKNo
2103TB0200XPsychologistCognitive & Behavioral009669NEW YORKNo
3103TC0700XPsychologistClinical009669NEW YORKNo
4103TC2200XPsychologistClinical Child & Adolescent009669NEW YORKNo
5103TM1800XPsychologistIntellectual and Developmental Disabilities009669NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10049693OTHERNEW YORKGHI PPO
2118426OTHERNEW YORKVYTRA HEALTH PLAN
3VA2061OTHERNEW YORKEMPIRE BLUECROSS BLUESHIE
4AS1545OTHERNEW YORKOXFORD HEALTH PLANS

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: 11/21/2025

NPI Synchronization or Removal

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