DR. JENNIFER ELIZABETH BRADLEY (NPI# 1326250184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326250184 |
Entity Type | Individual |
Full Name | DR. JENNIFER ELIZABETH BRADLEY |
Credential | PSY.D., HSPP |
Practice Address |
205 N College Ave Ste 514 Bloomington IN 47404-3952 |
Practice Telephone | 8123397071 |
Mailing Telephone | 8123397071 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2010-09-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 20041769A | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
1386008647 | Jennifer Bradley | Case Manager/Care Coordinator | 1105 Hawthorne Dr, Midwest City, OK 73110-7614 | 2016-04-12 |
1194101402 | Jennifer Bradley | Physical Therapist | 3200 Labore Rd Ste 102, Vadnais Heights, MN 55110-5189 | 2015-08-10 |
1114303914 | Jennifer Bradley | Lactation Consultant, Non-RN | 136 Corbin Cir, Cabot, AR 72023-7733 | 2015-08-04 |
1487093803 | Jennifer Lynn Bradley | Optometrist | 338 S Washington Ave., Titusville, FL 32796-3548 | 2013-06-19 |
1154769123 | Jennifer Marie Bradley | Speech-Language Pathologist | 214 Umbrella Pl, Jupiter, FL 33458-1625 | 2013-06-12 |
1912257395 | Jennifer Renee Bradley | Counselor | 16700 Highway 280 Ste A222, Chelsea, AL 35043-8325 | 2012-09-13 |
1225312119 | Jennifer Michelle Bradley | Nurse Practitioner | Vanderbilt Eskind Diabetes Clinic 8210 Mce, South Tower, 1215 21st Ave South, Nashville, TN 37232-8148 | 2011-10-10 |
1740802073 | Jennifer Bradley | Nurse Practitioner | 1716 Hartford St., Lafayette, IN 47904-2138 | 2020-05-08 |
1609334184 | Jennifer Angelyn Bradley | Social Worker | 101 Broad St Ste 201, Lake Geneva, WI 53147-2061 | 2019-03-04 |
Street Address |
205 N COLLEGE AVE STE 514 |
City | BLOOMINGTON |
State | IN |
Zip Code | 47404-3952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
Find all providers in zip 47404 |
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 |
---|---|---|---|---|
1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
1427455179 | Lori K Campbell | Psychologist | 3925 E Hagan St, Ste 102, Bloomington, IN 47401-8649 | 2014-11-24 |
1013233584 | Michele Koselke | Psychologist | 205 N College Ave Ste 312, Bloomington, IN 47404-3953 | 2010-04-08 |
1114167194 | Robert C Kissel | Psychologist | 6063 Nehrt Rd, Bloomington, IN 47408-9107 | 2009-03-03 |
1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
1669656724 | Gay Robb Hallberg | Psychologist | 11060 Oregon Curv, Bloomington, MN 55438-2806 | 2007-12-26 |
1376685693 | Deborah A. Zera | Psychologist | 525 S Walker St, Suite 104, Bloomington, IN 47403-2152 | 2007-02-13 |
1700924800 | Susan J Rautio-dietz | Psychologist | 532 N Walnut St, Suite D, Bloomington, IN 47404-3809 | 2007-02-01 |
1255408779 | Nancy J Kampa | Psychologist | 7900 International Dr, Suite 200, Bloomington, MN 55425-1510 | 2006-11-29 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47404 |
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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.