BRADFORD MICHAEL BEEBE (NPI# 1356344469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356344469 |
| Entity Type | Individual |
| Full Name | BRADFORD MICHAEL BEEBE |
| Credential | PHD, HSPP, BCBA-D |
| Practice Address |
355 Quartermaster Ct Jeffersonville IN 47130-3670 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8122589802 |
| Practice Fax Number | 7654549759 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 7654549759 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 128036 | KY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 0834 | KY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
128036 | KY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040970A | IN | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | COBA.122 | OH | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 101602 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200185410A | 05 | |
| BCBA-D CERTIFICATE | 1-04-2089 | 01 |
| Street Address |
355 QUARTERMASTER CT |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455439 | Courtney Nicole Marcum | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-10-21 |
| 1144827239 | Ashley Jones | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-10-02 |
| 1962009035 | Jalin Lavelle Ernest | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-10-02 |
| 1245846344 | Haley Diana Shouse | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-09-23 |
| 1225644321 | Jenna Elizabeth Waiz | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-09-23 |
| 1306452404 | Miranda Elizabeth Brooks | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-09-23 |
| 1932715034 | Lyric Walker | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-09-23 |
| 1750996500 | Heidi Marie Stewart | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-09-09 |
| 1003420514 | Porsha Shauniese Battle | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-09-02 |
| 1487266557 | Maria Lee Ledbetter | Behavior Technician | 355 Quartermaster Ct, Jeffersonville, IN 47130-3670 | 2020-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780716282 | Gallagher Behavioral Services, Inc. | Psychologist | 434 Mechanic St, Jeffersonville, IN 47130-3965 | 2007-03-10 |
| 1508312547 | Joanne Coyle | Psychologist | 2076 W Main St, Jeffersonville, PA 19403-3067 | 2016-08-30 |
| 1629046263 | Tony Sheppard | Psychologist | 335 Spring St, Jeffersonville, IN 47130-4480 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1154942340 | Craig Allan Nordstrom | Psychologist | 111 E Clearwater Ave, Beverly Shores, IN 46301-0056 | 2020-04-29 |
| 1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
| 1568001469 | Monica Anne Cotter | Psychologist | Adam Benjamin Jr. Va Outpatient Clinic, 9301 Madison, Crown Point, IN 46307-4630 | 2019-12-26 |
| 1417505538 | John Pierre Rudy | Psychologist | 3464 Cinnamon Trce, Kokomo, IN 46901-3981 | 2019-09-02 |
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
| 1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on BRADFORD MICHAEL BEEBE.
| 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.