Active NPI
Brad Stepp, PSYD LLC
- Clinical Psychologist
- Bloomington, IN
National Provider Identifier
1033807243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, PSYD
- 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.
-
- Psychologist
- Bloomington, IN
- NPI 1962719559
National Provider Directory
National Provider DirectoryLocations
3100 E John Hinkle Pl
Ste 104
Bloomington, IN 47408
Phone (812) 323-6001
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.