CHARLES B BRADSHAW (NPI# 1780632851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780632851 |
Entity Type | Individual |
Full Name | CHARLES B BRADSHAW |
Credential | PH.D |
Practice Address |
750 E Adams St Department of Neurology Syracuse NY 13210-2306 |
Mailing Address |
750 E Adams St Syracuse NY 13210-2306 |
Practice Telephone | 3154645016 |
Practice Fax Number | 3154645355 |
Mailing Telephone | 3154645016 |
Mailing Fax Number | 3154647328 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2009-01-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 010159 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01207905 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881123321 | Charles Bradshaw | Physical Therapist | 118 Johnson Ave, Celina, OH 45822-1219 | 2017-06-08 |
1427595792 | Charles Everett Bradshaw | Pharmacist | 455 W Montana St, Pasadena, CA 91103-1327 | 2017-01-25 |
1043477672 | Charles Jeremy Bradshaw | Physician Assistant | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2008-05-21 |
1538361456 | Charles Pedigo Bradshaw | Dentist | 220 Conway St, Suite 2, Frankfort, KY 40601-2748 | 2007-06-04 |
1104866714 | Charles Marshall Bradshaw | Specialist | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2006-06-08 |
Street Address |
750 E ADAMS ST DEPARTMENT OF NEUROLOGY |
City | SYRACUSE |
State | NY |
Zip Code | 13210-2306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922003193 | Aqeel A Sandhu | Specialist | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-06-15 |
1770183972 | Subhashree Dasgupta | Speech-Language Pathologist | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-27 |
1841890118 | Danielle Coniglio Gonzalez | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-27 |
1497353858 | Kayleigh M Gifford | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-16 |
1578160891 | Steven Lounsbury | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-09 |
1306453295 | Sarah Persons | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-09-25 |
1356956270 | Carlo Manalo Dangcalan | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-09 |
1104430396 | Rida Sherwani | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-03 |
1003420803 | Michel Tawil | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-08-31 |
1669085056 | Komal Syeda | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
Find all providers in zip 13210 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225355456 | Lauren Half Warren-faricy | Clinical Neuropsychologist | 505 Irving Ave Ste 1249, Institute for Human Performance, Syracuse, NY 13210-1718 | 2010-04-28 |
1841674553 | Rebecca Gavett | Clinical Neuropsychologist | 505 Irving Ave, Suny Upstate Medical University, Syracuse, NY 13210-1718 | 2015-07-13 |
1689949836 | Gila Z. Reckess | Clinical Neuropsychologist | 505 Irving Ave, Syracuse, NY 13210-1718 | 2012-03-20 |
1346379609 | Allan Yozawitz | Clinical Neuropsychologist | 1101 Erie Blvd E, Suite 207, Syracuse, NY 13210-1144 | 2007-03-05 |
1902997588 | Dominic A Carone | Clinical Neuropsychologist | 750 E Adams St, 2 North, Syracuse, NY 13210-2306 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609408046 | Nassau Neuropsychological Services, Pllc | Clinical Neuropsychologist | 386 S Oyster Bay Rd, Hicksville, NY 11801-3509 | 2020-02-04 |
1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
1174181382 | Kayla Whearty | Clinical Neuropsychologist | 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 | 2019-06-03 |
1447729595 | Beth Krone | Clinical Neuropsychologist | 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 | 2018-11-19 |
1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
1366936585 | Nicole Feirsen | Clinical Neuropsychologist | 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 | 2018-06-20 |
1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
1043718505 | Elsa Lee | Clinical Neuropsychologist | 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 | 2018-01-30 |
1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
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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.