Provider Demographics
NPI:1093106643
Name:NIXON, BRIANA CLAYPOOL (PSYD)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:CLAYPOOL
Last Name:NIXON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6229 84TH ST APT A34
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2052
Mailing Address - Country:US
Mailing Address - Phone:646-327-1649
Mailing Address - Fax:
Practice Address - Street 1:6159 DRY HARBOR RD APT H50
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1518
Practice Address - Country:US
Practice Address - Phone:929-242-9560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP09303103T00000X
103T00000X
NY022742103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist