Organization Active NPI

Brad Stepp, PSYD LLC

  • Clinical Psychologist
  • Bloomington, IN
National Provider Identifier
1033807243
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BRAD STEPP, PSYD LLC
Practice address
3100 E John Hinkle PL Ste 104
Bloomington, IN 47408-2611
Phone
(812) 329-5277
NPI assigned
Apr 26, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gary Bradley Stepp, PSYDNPI 1962719559
Title
Owner/Psychologist
Phone
(812) 329-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

3100 E John Hinkle Pl
Ste 104
Bloomington, IN 47408
Phone (812) 323-6001

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

3100 E John Hinkle PL Ste 104
Bloomington, IN 47408-2611

Mailing address

3100 E John Hinkle PL Ste 104
Bloomington, IN 47408-2611
Phone (812) 329-5277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2023.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1033807243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E JOHN HINKLE PL STE 104",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082611",
            "telephone_number": "812-329-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E JOHN HINKLE PL STE 104",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082611",
            "telephone_number": "812-329-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD STEPP, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "STEPP",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "812-329-5277",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.