DAVID R BRADSHAW


Address: 14569 Grand Ave, Suite 200, Burnsville, MN 55306-5729
Phone: 9528927690

DAVID R BRADSHAW (NPI# 1093890782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093890782
Entity Type Individual
Full Name DAVID R BRADSHAW
Credential MED, LP
Practice Address 14569 Grand Ave
Suite 200
Burnsville
MN 55306-5729
Practice Telephone 9528927690
Practice Fax Number 9528984930
Mailing Telephone 9528927690
Mailing Fax Number 9528984930
Enumeration Date 2006-10-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP3945 MN Behavioral Health & Social Service Providers

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Office Location

Street Address 14569 GRAND AVE
SUITE 200
City BURNSVILLE
State MN
Zip Code 55306-5729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679551527 Andrea Renee Zuellig Psychologist 14569 Grand Ave, Burnsville, MN 55306-5729 2006-01-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568095438 Roers Senior Living Burnsville LLC Assisted Living Facility 14401 Grand Avenue, Burnsville, MN 55306 2020-02-19
1639717986 Kaylee Nadine Frederickson Speech-Language Pathologist 14451 Grand Ave S, Burnsville, MN 55306 2019-12-17
1780236893 Nichole Arn Occupational Therapist 14301 Ewing Avenue, Burnsville, MN 55306 2019-07-10
1942708516 Nicholas John Solverson Chiropractor 14671 Chicago Ave Apt 6, Burnsville, MN 55306 2018-01-29
1164978672 Benjamin Halpern Dentist 14344 Burnhaven Drive, Burnsville, MN 55306 2016-08-26
1528478336 Michael Patrick Hennes Chiropractor 14587 Grand Ave Ste 112, Burnsville, MN 55306 2014-05-01
1467799924 Dentalign, Pa Dentist 2999 County Road 42 W Suite 138, Burnsville, MN 55306 2013-01-03
1417205436 Heather Heide Student in an Organized Health Care Education/Training Program 14750 Lac Lavon Dr, Burnsville, MN 55306 2012-08-23
1427243898 Rehana Leila Ahmed-saucedo Dermatology 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 2007-09-10
1881815397 Kyle James Colbert Chiropractor 745 Crystal Lake Rd East, Burnsville, MN 55306 2007-05-01
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518250984 Sarah Robinson-hudson Psychologist 3000 County Road 42 W Ste 210, Burnsville, MN 55337 2011-05-18
1104054329 Jami Jeyn Hughes Psychologist 201 W Travelers Trl Ste 212, Burnsville, MN 55337-4905 2009-06-25
1831264498 Louise Agnes Griffith Psychologist 14575 Grand Ave, Burnsville, MN 55306-5722 2006-11-21
1245312818 Patricia Verby Psychological Services Inc Psychologist 1751 Southcross Dr W, Burnsville, MN 55306-7012 2006-10-20
1184738254 Terry Lawrence Poe Psychologist 675 Nicollet Blvd East, Burnsville, MN 55337-6741 2006-08-18
1528071065 John F. Cooper Psychologist 200 E Travelers Trl Ste 225, Burnsville, MN 55337-4191 2006-08-14
1326025313 Robyn Swenson Psychologist 1755 Southcross Dr W, Burnsville, MN 55306-7012 2005-12-29
1295712495 Michelle A Brouillette Psychologist 11990 Portland Ave, Burnsville, MN 55337-1516 2005-12-28
1952386526 Richard S Lafans Psychologist 14300 Nicollet Ct, Ste 130, Burnsville, MN 55306-3422 2005-12-07
1780666958 Susan Peters Psychologist 14587 Grand Ave, #201, Burnsville, MN 55306-5700 2005-11-15
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Competitor

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City BURNSVILLE
Zip Code 55306

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Dataset Information

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.

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