DR. MARK LAVELLE BRADFORD (NPI# 1396867271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396867271 |
| Entity Type | Individual |
| Full Name | DR. MARK LAVELLE BRADFORD |
| Practice Address |
309 N Jefferson Ave Ste 245 Springfield MO 65806-1108 |
| Practice Telephone | 4178339999 |
| Practice Fax Number | 4178332727 |
| Mailing Telephone | 4178339999 |
| Mailing Fax Number | 4178332727 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PYR0472 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137611 | Mark Bradford | Physician Assistant | 1 Texas Station Ct, Timonium, MD 21093-8286 | 2006-06-03 |
| 1477555613 | Mark Larsen Bradford | Dentist | 2545 Ceanothus Ave, Ste 138, Chico, CA 95973-7611 | 2005-06-01 |
| 1295907707 | Mark A Bradford | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2008-03-25 |
| 1548335938 | Mark W Bradford | Specialist | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2006-11-21 |
| Street Address |
309 N JEFFERSON AVE STE 245 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609814474 | Joan Christine Wells | Counselor | 309 N Jefferson Ave, Suite 170, Springfield, MO 65806-1108 | 2006-06-03 |
| 1770776106 | K and C Stepping Stones, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 N Jefferson Ave, Ste 224, Springfield, MO 65806-1108 | 2007-08-20 |
| 1952508558 | Angela Reid | Psychologist | 309 N Jefferson Ave, Suite 245, Springfield, MO 65806-1108 | 2007-06-28 |
| 1316076755 | K and C Stepping Stones, LLC | Day Training, Developmentally Disabled Services | 309 N Jefferson Ave, Suite 224, Springfield, MO 65806-1108 | 2007-03-03 |
| 1861581076 | Joan Ellen Bender | Psychologist | 309 N Jefferson Ave, Suite 221, Springfield, MO 65806-1108 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| 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 |
|---|---|---|---|---|
| 1467074351 | Esther Palacios-barrios | Psychologist | 8110 Parkdale Ct, Springfield, VA 22153-3601 | 2020-05-13 |
| 1073163598 | Tracey Cummings | Psychologist | 709 Avenue A, Springfield, MI 49037-7706 | 2019-09-17 |
| 1194374587 | Aaron Matthew Begley | Psychologist | 2775 W Dickman Rd Ste P1, Springfield, MI 49037-4895 | 2019-09-09 |
| 1891209938 | Ewa Lavin | Psychologist | 675 Morris Ave Ste 202, Springfield, NJ 07081-1523 | 2017-11-28 |
| 1750825469 | Stephanie Kaplan | Psychologist | 300 Carew St Ste 2, Springfield, MA 01104-2146 | 2016-12-14 |
| 1578922365 | Molly Lenore Choate Summers | Psychologist | 7713 Harwood Pl, Springfield, VA 22152-2014 | 2016-02-22 |
| 1942669528 | Hiroko Arikawa | Psychologist | 2988 W Lasalle St, Springfield, MO 65807-8733 | 2016-02-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1861885774 | Hand In Hand Multicultural Center | Psychologist | 1436 W Hovey St, Springfield, MO 65802-1509 | 2015-03-17 |
| 1962742932 | Jed E Baker | Psychologist | 28 Millburn Ave, Suite 7, Springfield, NJ 07081 | 2013-02-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
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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.