DR. KELLY E BRADLEY PSYD NPI 1578963187

NPI Information

NPI: 1578963187
Provider Name: DR. KELLY E BRADLEY, PSYD
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN
ZIP 46278
Phone: (317) 295-0608
Get Directions

DR. Kelly E Bradley, PSYD is a cognitive and behavioral psychologist in Indianapolis, IN. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Kelly E Bradley, PSYD NPI is 1578963187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6640 INTECH BLVD STE 195
INDIANAPOLIS, IN
ZIP 46278-014
Phone: (317) 295-0608

The enumeration date for this NPI number is 9/2/2014 and was last updated on 1/11/2023.

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	101YM0800X	Counselor	Mental Health			No
2	103TC0700X	Psychologist	Clinical	20043645A	INDIANA	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	20043645A	INDIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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