GRETCHEN BRADSHAW (NPI# 1083120919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083120919 |
| Entity Type | Individual |
| Full Name | GRETCHEN BRADSHAW |
| Practice Address |
2005 Asbury Rd Dubuque IA 52001-3042 |
| Practice Telephone | 5635837357 |
| Practice Fax Number | 8882433455 |
| Mailing Telephone | 5635837357 |
| Mailing Fax Number | 8882433455 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
2005 ASBURY RD |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326096116 | Hillcrest Family Services | Psychiatry & Neurology | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2006-05-04 |
| 1497354773 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2020-10-19 |
| 1700433570 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2019-08-26 |
| 1649748641 | Charity Anne Edgar | Social Worker | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2018-11-07 |
| 1518450485 | Tami Lee Koons | Counselor | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2018-06-14 |
| 1316449689 | Bridget Bartlett | Social Worker | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2018-03-02 |
| 1134641749 | Elizabeth Heisler | Registered Nurse | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2017-07-14 |
| 1699218115 | Tammy Bardon | Registered Nurse | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2016-12-01 |
| 1487103412 | Dennis Bradley | Counselor | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2016-10-03 |
| 1346798030 | Stacy Kaiser | Registered Nurse | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2016-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
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| 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 |
|---|---|---|---|---|
| 1124162763 | Mary Madeline Johnson | Psychologist | 16306 Forest Gate Rd, Dubuque, IA 52001-9701 | 2007-02-16 |
| 1043216039 | Daniel L Olson | Psychologist | 700 Locust St, Ste 716, Dubuque, IA 52001-6824 | 2005-06-23 |
| 1831449529 | Amy Michelle Miller | Psychologist | 200 Mercy Dr, Suite 201, Dubuque, IA 52001-7303 | 2012-09-11 |
| 1750639936 | Dana Hamann | Psychologist | 200 Mercy Dr, Suite 201, Dubuque, IA 52001-7303 | 2012-08-21 |
| 1669789616 | Nicole Hochhausen Keedy | Psychologist | 200 Mercy Dr, Suite 201, Dubuque, IA 52001-7303 | 2010-09-10 |
| 1770749269 | Christine Anne Mcgrath Wetjen | Psychologist | 200 Mercy Dr, Suite 201, Dubuque, IA 52001-7303 | 2008-08-04 |
| 1043387798 | Paul Joseph Schroeder | Psychologist | 200 Mercy Dr, Suite 200, Dubuque, IA 52001-7303 | 2006-11-29 |
| 1851331524 | Jerry David Odefey | Psychologist | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-06-08 |
| 1083665111 | Stephen J. Frommelt | Psychologist | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970622 | Pella Counseling Plc | Psychologist | 1535 Terrace Dr, Pella, IA 50219-1048 | 2020-10-21 |
| 1639776313 | Sara E Wise | Psychologist | 2240 9th St, Coralville, IA 52241-1575 | 2020-10-05 |
| 1023623584 | Dawn M Bates | Psychologist | 2675 Heinz Rd Apt 9, Iowa City, IA 52240-7240 | 2020-09-11 |
| 1811551302 | Paula Jean Gilroy | Psychologist | 1227 W 27th St Student Health Center 103, Cedar Falls, IA 50614-0385 | 2019-04-30 |
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1962980771 | Mark R Poeppe | Psychologist | 12951 University Ave Ste 204, Clive, IA 50325-8293 | 2018-08-02 |
| 1083103790 | Lion's Heart Psychological Services, Plc | Psychologist | 5250 N Park Pl Ne Ste 109, Cedar Rapids, IA 52402-6221 | 2018-05-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1255789814 | Meifen Wei | Psychologist | 901 Stange Rd, Ames, IA 50011-1037 | 2016-05-24 |
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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.