DR. BRADLEY G SMALL (NPI# 1669586574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669586574 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY G SMALL |
| Credential | PSY.D. |
| Practice Address |
1644 W Colonial Pkwy Inverness IL 60067-1207 |
| Mailing Address |
1202 Howard Cir Wheaton IL 60187-3811 |
| Practice Telephone | 8477764500 |
| Practice Fax Number | 8477764724 |
| Mailing Telephone | 6305101929 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IA | Behavioral Health & Social Service Providers |
| Street Address |
1644 W COLONIAL PKWY |
| City | INVERNESS |
| State | IL |
| Zip Code | 60067-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232537 | David Patrick Ritter | Dentist | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2005-06-01 |
| 1104286145 | Lilly Crimmins | Counselor | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2016-03-03 |
| 1124408554 | Kristal J. King | Social Worker | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2015-06-01 |
| 1649520818 | Jeffrey A Dill | Counselor | 1644 W Colonial Pkwy, Inverness, IL 60067 | 2012-09-14 |
| 1063790749 | Loay J Sandouka | Psychologist | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2011-07-28 |
| 1760774509 | Premlata Nikoniuk | Counselor | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2011-05-12 |
| 1437462546 | Debra Ernst | Counselor | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2010-07-17 |
| 1013152750 | Sarah Lynn Lloyd | Counselor | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2008-12-10 |
| 1316124498 | New Perspectives Ltd | Psychiatry & Neurology | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2008-01-30 |
| 1821110396 | Donald Fagerson | Psychiatry & Neurology | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510730 | Little City Foundation | Clinic/Center | 1700 W. Algonquin Rd., Palatine, IL 60067 | 2020-02-18 |
| 1447883467 | Little City Foundation | Clinic/Center | 1520 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1477186492 | Little City Foundation | Clinic/Center | 1545 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1003449026 | Little City Foundation | Clinic/Center | 1770 Little City Drive, Palatine, IL 60067 | 2020-02-18 |
| 1013554567 | Brittany Hall | Counselor | 1608 Colonial Parkway, Suite 101, 204, 209, Inverness, IL 60067 | 2019-12-03 |
| 1992360093 | Jonathan J Krok | Physical Therapist | 101 N. Northwest Hwy., Palatine, IL 60067 | 2019-05-03 |
| 1891215158 | Ana Stefaniuk | Counselor | Clinical Care Consultants, 1642 W. Colonial Parkway, Inverness, IL 60067 | 2017-06-27 |
| 1346792900 | Pt Solutions LLC | Physical Therapist | 30 S. Northwest Highway, Palatine, IL 60067 | 2016-10-31 |
| 1811355514 | Jayeti N Patel | Physical Therapist | 101 N. Northwest Highway, Palatine, IL 60067 | 2016-02-09 |
| 1780081315 | Mint Dentistry LLC | Preferred Provider Organization | 600 North North Court, Suite 260, Palatine, IL 60067 | 2014-11-25 |
| Find all providers in zip 60067 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542669 | Diane Lin Phd LLC | Psychologist | 1627 W Colonial Pkwy Ste 302, Inverness, IL 60067-4732 | 2020-06-10 |
| 1346628252 | Maria Vassileva | Psychologist | 1619 W Colonial Pkwy Ste 107, Inverness, IL 60067-4732 | 2015-05-12 |
| 1205010550 | Tobias and Associates, P.C. | Psychologist | 1644 Colonial Parkway 2nd Floor, Inverness, IL 60067 | 2007-12-21 |
| 1043437049 | Proactive Behavioral Services, Inc. | Psychologist | 1644 W. Colonial Pkwy., Inverness, IL 60067-1207 | 2007-04-19 |
| 1710019625 | Thomas Hibberd | Psychologist | 105 W. Dampier Street, Inverness, FL 34450 | 2007-03-09 |
| 1669568689 | Shirley Butler | Psychologist | 1627 W Colonial Pkwy Ste 205, Inverness, IL 60067-4732 | 2006-10-05 |
| 1346274529 | Marie-anne Salvio | Psychologist | 957 S Lois Ter, Suite 102, Inverness, FL 34452-3267 | 2006-07-11 |
| 1992706642 | Susan C Reeder | Psychologist | 480 Pleasant Grove Rd, Inverness, FL 34452-5746 | 2005-08-03 |
| 1497262448 | Lumos Psychology LLC | Psychologist | 1619 W Colonial Pkwy Ste 107, Inverness, IL 60067-4732 | 2017-12-29 |
| 1063790749 | Loay J Sandouka | Psychologist | 1644 W Colonial Pkwy, Inverness, IL 60067-1207 | 2011-07-28 |
| Find all providers in INVERNESS | ||||
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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.