BRADLEY MAYNARD


Address: 252 S 500 E, Salt Lake City, UT 84102-2030
Phone: 8015873000

BRADLEY MAYNARD (NPI# 1316288590) 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) 1316288590
Entity Type Individual
Full Name BRADLEY MAYNARD
Practice Address 252 S 500 E
Salt Lake City
UT 84102-2030
Practice Telephone 8015873000
Enumeration Date 2013-03-12
Last Update Date 2013-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 252 S 500 E
City SALT LAKE CITY
State UT
Zip Code 84102-2030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326020512 Mabel Ann Jentzsch Social Worker 252 S 500 E, Salt Lake City, UT 84102-2030 2005-11-15
1023410321 Briggs Alsbury Social Worker 252 S 500 E, Salt Lake City, UT 84102-2030 2014-09-18
1659783686 Jessica Tenney Registered Nurse 252 S 500 E, Salt Lake City, UT 84102-2030 2014-05-26
1336565597 Caitlin Ehrich Case Manager/Care Coordinator 252 S 500 E, Salt Lake City, UT 84102-2030 2014-03-12
1609207729 Nathan Erickson Registered Nurse 252 S 500 E, Salt Lake City, UT 84102-2030 2013-11-30
1962839415 Joshua Bryan Dowdle Social Worker 252 S 500 E, Salt Lake City, UT 84102-2030 2013-09-30
1548695349 Ashlee Roberts Gudmundson Nurse's Aide 252 S 500 E, Salt Lake City, UT 84102-2030 2013-09-11
1578905634 Marci Park Registered Nurse 252 S 500 E, Salt Lake City, UT 84102-2030 2013-07-17
1811337173 Amanda Duncan Specialist 252 S 500 E, Salt Lake City, UT 84102-2030 2013-07-01
1316288582 Maxine E Mickelsen Licensed Psychiatric Technician 252 S 500 E, Salt Lake City, UT 84102-2030 2013-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780281519 Sitti Suhardi Counselor 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 2020-10-05
1801400015 Tyra Mae Vance Counselor 3375 S 880 E, Salt Lake City, UT 84106 2020-09-04
1033721394 Salt Lake Therapy Collective Counselor 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 2020-08-18
1083172704 Brooke Pyper Counselor 335 W Bugatti Dr, Salt Lake City, UT 84115-2521 2019-03-12
1881168185 Korilynn Cheatham Bartley Counselor 124 S 400 E Ste 300, Salt Lake City, UT 84111-5307 2019-01-20
1164910089 Gerald Louis Costley Counselor 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 2018-04-26
1912412867 Jackson Patrick Collins Counselor 1650 E 6670 S, Salt Lake City, UT 84121-2760 2017-12-13
1891225678 Phil Edward Francis Counselor 4000 S 700 E Ste 9, Salt Lake City, UT 84107-2581 2017-06-14
1063866549 Dustin Palmer Counselor 344 E 100 S # 230, Salt Lake City, UT 84111 2016-04-20
1740642735 Misty Tae Ungricht Counselor 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 2016-03-28
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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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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