Pamela A Bradbury, LMHC

Key facts

NPI

1043392350

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

5684 (MA)

Practice address

95 Pleasant St
Lynn, MA 01901-1524

Phone

(781) 581-4440

Fax

(781) 596-9992

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Eliot Community Human Services Mental Health Clinic/Center (Including Community Mental Health Center) · Concord, MA · NPI 1679648182
  Medicare reassignment Care Compare group NPD MA
• Eliot Community Human Services Mental Health Clinic/Center (Including Community Mental Health Center) · Lexington, MA · NPI 1932271632
  NPD

Medicare Care Compare profile

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eliot Community Human Services (82 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2010.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1043392350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011524",
            "telephone_number": "781-581-4440",
            "fax_number": "781-596-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PLEASANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011524",
            "telephone_number": "781-581-4440",
            "fax_number": "781-596-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

• Hallie Boviard, LCSW
• Darcell Boyd
• Kendra Lynn Boyle
• Deborah Boyles
• Sabrina Autumn Boynton, MSW
• Raymond Paul Bradley Lima Da Silva, LMT
• Jennifer Bradley
• Rebecca Brandt, L.M.T.
• Edward M Braun, MD
• Leslie Ann Breen, ADULT NP

All providers in Lynn, MA · Mental Health Counselor in Massachusetts