Provider Demographics
NPI:1669441325
Name:JOLIE S. BRAMS, PH.D. AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:JOLIE S. BRAMS, PH.D. AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOLIE
Authorized Official - Middle Name:SHERILL
Authorized Official - Last Name:BRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-457-0077
Mailing Address - Street 1:985 BETHEL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1905
Mailing Address - Country:US
Mailing Address - Phone:614-457-0077
Mailing Address - Fax:614-457-2228
Practice Address - Street 1:985 BETHEL RD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1905
Practice Address - Country:US
Practice Address - Phone:614-457-0077
Practice Address - Fax:614-457-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3233103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHR71438Medicare UPIN
OHBRCP04281Medicare ID - Type Unspecified