DR. LYNN E BRADFORD (NPI# 1578508529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578508529 |
| Entity Type | Individual |
| Full Name | DR. LYNN E BRADFORD |
| Credential | PHD, HSPP |
| Practice Address |
2620 Kessler Boulevard East Dr Suite 210 Indianapolis IN 46220-2890 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3174756200 |
| Practice Fax Number | 3174756212 |
| Mailing Telephone | 3179624836 |
| Mailing Fax Number | 3179628646 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040774 | IN | Behavioral Health & Social Service Providers |
| Street Address |
2620 KESSLER BOULEVARD EAST DR SUITE 210 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891739207 | Jill L Dodson | Social Worker | 2620 Kessler Boulevard East Dr, Suite 210, Indianapolis, IN 46220-2890 | 2006-06-15 |
| 1083831424 | Mary Elizabeth Mccreary | Registered Nurse | 2620 Kessler Boulevard East Dr, Suite 210, Indianapolis, IN 46220-2890 | 2007-04-19 |
| 1649361759 | Annette L. Austin | Pharmacist | 2620 Kessler Boulevard East Dr, Pharmacy, Indianapolis, IN 46220-2890 | 2006-09-27 |
| 1891806220 | Karen Sue Edgerson | Pharmacist | 2620 Kessler Boulevard East Dr, Indianapolis, IN 46220-2890 | 2006-08-31 |
| 1609989086 | Erin L Southworth | Pharmacist | 2620 Kessler Boulevard East Dr, Indianapolis, IN 46220-2890 | 2006-08-17 |
| 1245343581 | Glendale Pharmacy | Pharmacy | 2620 Kessler Boulevard East Dr, Indianapolis, IN 46220-2890 | 2006-08-17 |
| 1669403531 | Robert J Blender | Social Worker | 2620 Kessler Boulevard East Dr, Indianapolis, IN 46220-2890 | 2006-07-06 |
| 1811933039 | Jason K Richmond | Social Worker | 2620 Kessler Boulevard East Dr, Suite 210, Indianapolis, IN 46220-2890 | 2006-06-22 |
| 1033154067 | Michael A Litwiller | Psychiatry & Neurology | 2620 Kessler Boulevard East Dr, Ste 210, Indianapolis, IN 46220-2890 | 2006-06-16 |
| 1497790463 | Joyce A Scott | Clinical Nurse Specialist | 2620 Kessler Boulevard East Dr, Suite 210, Indianapolis, IN 46220-2890 | 2006-06-16 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on DR. LYNN E BRADFORD.
| 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.