DR. ELIZABETH G BRADLEY (NPI# 1023530532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023530532 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH G BRADLEY |
| Credential | PH.D. |
| Practice Address |
959 Washington Ave Albany NY 12206-1415 |
| Practice Telephone | 5186182387 |
| Practice Fax Number | 5188139291 |
| Mailing Telephone | 5186182387 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
022131 | NY | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
022131 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Maple Ave, Saratoga Spgs, NY 128665633 | 5188139290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598292039 | Elizabeth A Bradley | Counselor | 620 S Cascade Ave Ste B, Colorado Springs, CO 80903-4039 | 2017-05-15 |
| 1518219930 | Elizabeth Bradley | Physical Therapist | 1115 Boulders Pkwy Ste 100b, North Chesterfield, VA 23225-4067 | 2012-10-09 |
| 1528341708 | Elizabeth Bradley | Occupational Therapist | 114 N Grant Ave, Congers, NY 10920-1611 | 2011-09-23 |
| 1023013513 | Elizabeth A Bradley | Family Medicine | 857 Montgomery Ave, Penn Valley, PA 19072-1541 | 2005-06-20 |
| 1326577974 | Elizabeth Anne Bradley | Counselor | 12 Methuen St, Lawrence, MA 01840-1700 | 2017-06-07 |
| 1497117220 | Elizabeth Bradley | Pharmacist | 2946 Island Ave, Shoprite Pharmacy, Philadelphia, PA 19153-2026 | 2016-03-22 |
| 1306215058 | Elizabeth Bradley | Physician Assistant | 7219 Mcknight Rd, Pittsburgh, PA 15237-3524 | 2015-09-23 |
| 1821475716 | Elizabeth Bradley | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2015-04-30 |
| 1831500198 | Elizabeth Bradley | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2014-05-08 |
| 1154731420 | Elizabeth L Bradley | Physical Therapist | 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239-2964 | 2014-05-07 |
| Street Address |
959 WASHINGTON AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548320385 | Lisa A Megna Vicinanzo | Chiropractor | 959 Washington Ave, Albany, NY 12206 | 2006-12-11 |
| 1740498781 | Lisa A. Megna-vicinanzo Dc PC | Chiropractor | 959 Washington Ave, Albany, NY 12206-1415 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| 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 |
|---|---|---|---|---|
| 1558910208 | Leslie Van Buren Waite Jr. | Psychologist | 113 Holland Ave Rm C1017, Albany, NY 12208-3410 | 2019-09-05 |
| 1962971762 | Robert David Cardom | Psychologist | 33 Woodlake Rd Ste 104, Albany, NY 12203-4057 | 2018-11-21 |
| 1831665157 | Bhumi Mehta | Psychologist | 125 Silver Leaf Dr, Albany, GA 31721-7704 | 2018-10-15 |
| 1013404870 | Julia Margaretha Hormes | Psychologist | 260 Washington Avenue Ext Ste 101, Albany, NY 12203-6326 | 2018-04-17 |
| 1184160715 | Brett Hartman | Psychologist | 1762 Central Ave Ste 201, Albany, NY 12205-4777 | 2017-01-06 |
| 1689121774 | Daniel Ryan Hoffman | Psychologist | 53 Mercer St, Albany, NY 12203-3616 | 2016-09-06 |
| 1043658404 | Brooke Picotte | Psychologist | 20 Corporate Woods Blvd, Suite 600, Albany, NY 12211-2396 | 2013-06-07 |
| 1215273685 | Alan Galgana | Psychologist | 44 Holand Ave, Bureau of Behavioral and Clinical Solutions, Albany, NY 12229-0001 | 2012-12-12 |
| 1285953612 | Katja E Mohr | Psychologist | 845 Santa Fe Ave, Albany, CA 94706-1823 | 2010-05-25 |
| 1831322809 | Jed Sekoff | Psychologist | 909 Ordway St, Albany, CA 94706-2115 | 2009-08-25 |
| Find all providers in ALBANY | ||||
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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.