DR. JENNIFER ELIZABETH BRADLEY


Address: 205 N College Ave Ste 514, Bloomington, IN 47404-3952
Phone: 8123397071

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 20041769A IN Behavioral Health & Social Service Providers

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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

Office Location

Street Address 205 N COLLEGE AVE STE 514
City BLOOMINGTON
State IN
Zip Code 47404-3952

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BLOOMINGTON
Zip Code 47404

Improve Information

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Dataset Information

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.

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