Dr Kelly E Bradley, PSYD is a
Psychologist - Cognitive & Behavioral based in Indianapolis, Indiana. Dr Kelly E Bradley is licensed to practice in Indiana (license number 20043645A) and her current practice location is
6640 Intech Blvd Ste 195, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 295-0608.
NPI number for Dr Kelly E Bradley is 1578963187 and her current mailing address is 250 N Shadeland Ave, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578963187.
Healthcare Provider's Profile
| Full Name | Dr Kelly E Bradley |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Cognitive & Behavioral |
|---|
| Location | 6640 Intech Blvd Ste 195, Indianapolis, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578963187
- Provider Enumeration Date: 09/02/2014
- Last Update Date: 01/11/2023
Medical Identifiers
Medical identifiers for Dr Kelly E Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578963187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20043645A (Indiana) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 20043645A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly E Bradley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Kelly E Bradley, PSYD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Kelly E Bradley, PSYD 6640 Intech Blvd Ste 195, Indianapolis, IN 46278-2014 Ph: (317) 295-0608 |
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