BRADFORD MICHAEL BEEBE PHD HSPP BCBA-D NPI 1356344469

NPI Information

NPI: 1356344469
Provider Name: BRADFORD MICHAEL BEEBE, PHD, HSPP, BCBA-D
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
355 QUARTERMASTER CT
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 258-9802
Get Directions

Bradford Michael Beebe, PHD, HSPP, BCBA-D is a clinical psychologist in Jeffersonville, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Bradford Michael Beebe, PHD, HSPP, BCBA-D NPI is 1356344469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

355 QUARTERMASTER CT
JEFFERSONVILLE, IN
ZIP 47130-670
Phone: (812) 258-9802
Fax: (765) 454-9759

The enumeration date for this NPI number is 5/23/2005 and was last updated on 11/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		101602	KENTUCKY	No
2	103K00000X	Behavior Analyst		COBA.122	OHIO	No
3	103T00000X	Psychologist		128036	KENTUCKY	No
4	103T00000X	Psychologist		0834	KENTUCKY	No
5	103TC0700X	Psychologist	Clinical	20040970A	INDIANA	Yes
6	103TC0700X	Psychologist	Clinical	128036	KENTUCKY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1-04-2089	OTHER		BCBA-D CERTIFICATE
2	R62075	MEDICARE UPIN
3	200185410A	MEDICAID	INDIANA
4	0676414	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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