DR. TIMOTHY DANIEL BRADY (NPI# 1114059813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114059813 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY DANIEL BRADY |
| Credential | PSY.D. |
| Practice Address |
2580 E Main St Suite 100 Ventura CA 93003-2646 |
| Practice Telephone | 8056536899 |
| Practice Fax Number | 8056536899 |
| Mailing Telephone | 8056536899 |
| Mailing Fax Number | 8056536899 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY21371 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225050529 | Timothy P. Brady | Dentist | 140 Punzalan St, C/o Guam Dental Arts, Tamuning, GU 96913-3441 | 2006-07-24 |
| 1942253208 | Timothy B Brady | Internal Medicine | 9443 E. 38th St., Indianapolis, IN 46236-2132 | 2006-05-18 |
| 1568994903 | Timothy Brady | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2017-04-03 |
| 1801024666 | Timothy J Brady | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2137 | 2009-06-30 |
| 1417099045 | Timothy Francis Brady | Dentist | 111 Mason St, Newark, NY 14513-1459 | 2007-02-12 |
| 1346386554 | Timothy H Brady | Social Worker | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2007-01-29 |
| 1518056258 | Timothy Tobin Brady | Internal Medicine | 10012 Kennerly Rd, Ste 101, St Louis, MO 63128 | 2006-10-12 |
| 1083680383 | Timothy J. Brady | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2006-02-27 |
| 1720074792 | Timothy K. Brady | Chiropractor | 514 28 1/4 Rd, Suite 1, Grand Junction, CO 81501-4961 | 2005-09-23 |
| Street Address |
2580 E MAIN ST SUITE 100 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114998028 | Kenneth Albert Schmidt | Marriage & Family Therapist | 2580 E Main St, Suite 201, Ventura, CA 93003-2646 | 2006-01-30 |
| 1326512625 | Dana Kline | Counselor | 2580 E Main St, Ventura, CA 93003-2646 | 2019-01-20 |
| 1578908117 | Brandi Quinn | Counselor | 2580 E Main St, Ventura, CA 93003-2646 | 2013-05-09 |
| 1487988655 | Randy Wood Phd | Psychologist | 2580 E Main St, Suite 100, Ventura, CA 93003-2646 | 2009-09-22 |
| 1053645226 | Patricia Kathleen Hill | Psychologist | 2580 E Main St, 100, Ventura, CA 93003-2646 | 2009-09-21 |
| 1851419006 | Corinne Yvonne Baxter | Marriage & Family Therapist | 2580 E Main St, Suite 200, Ventura, CA 93003-2646 | 2007-03-27 |
| 1447384136 | Michael Luis Morales | Social Worker | 2580 E Main St, Ste 204, Ventura, CA 93003 | 2007-03-15 |
| 1073675120 | Kay Alby Armstrong | Marriage & Family Therapist | 2580 E Main St, Suite 200, Ventura, CA 93003-2646 | 2006-12-15 |
| 1083708440 | Timothy V. Tice | Psychiatry & Neurology | 2580 E Main St, Suite 200, Ventura, CA 93003-2646 | 2006-10-03 |
| 1447276647 | Diane C. Auburn | Psychologist | 2580 E Main St, Suite 100, Ventura, CA 93003-2646 | 2006-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447810858 | Kimberly Wulfert | Psychologist | 1500 Palma Dr Ste 276, Ventura, CA 93003-6451 | 2019-06-18 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
| 1184881559 | Michael Rodriguez | Psychologist | 2021 Sperry Ave Ste 20, Ventura, CA 93003-7446 | 2008-05-21 |
| 1255417556 | William Richard Pefley | Psychologist | 3212 Loma Vista Rd Ste 260, Ventura, CA 93003-3042 | 2006-10-29 |
| 1407954597 | Steven Rothstein | Psychologist | 2021 Sperry Ave Ste 24, Ventura, CA 93003 | 2006-09-20 |
| 1942312434 | Reanne Sue Singer | Psychologist | 1056 E Meta Street, Suite 201, Ventura, CA 93001-0033 | 2006-08-31 |
| 1184731044 | Pegeen Mary Cronin | Psychologist | 1802 Eastman Ave, Ventura, CA 93003-7701 | 2006-08-24 |
| 1912999806 | David F Wasserman | Psychologist | 4882 Mcgrath St, Ste. 210, Ventura, CA 93003-7722 | 2005-08-17 |
| 1497003230 | Kristen Sullivan | Psychologist | 200 S Wells Rd Ste 200, Ventura, CA 93004-1377 | 2012-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.