Donald Ray Brady, M.S., PH.D., D.MIN.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY01609 Issued in MO

Practice address

1934 NW Copper Oaks Cir
Suite a
Blue Springs, MO 64015-8300

Phone

(913) 345-0033

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Don Brady, Psychologist LLC

  • Psychologist
  • Blue Springs, MO
  • NPI 1578008579

  MO, Psychologist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1013049154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 NW COPPER OAKS CIR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158300",
            "telephone_number": "913-345-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 NW COPPER OAKS CIR",
            "address_2": "SUITE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158300",
            "telephone_number": "913-345-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.S., PH.D., D.MIN.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA1771001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Boston, M.D.
• Rebecca Bowe, BCBA
• Tamera Bowser, RN
• Quinn Boyack
• Lynne Boyette, MA
• Miranda Bramble
• Christy Garde Breau, D.C.
• Kayla Elizabeth Brewer-Clements, FNP-C
• Britt Dental LLC
• Cynthia A Britt, MS CCC SLP

• All providers in Blue Springs, MO
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.