Pamela A Bradbury, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5684 Issued in MA

Practice address

95 Pleasant St
Lynn, MA 01901-1524

Phone

(781) 581-4440

Fax

(781) 596-9992

NPI assigned

Oct 19, 2006

Last updated

Dec 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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 ServicesGroup PAC ID 2062488000, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eliot Community Human Services

  dba Eliot Center

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

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
  • NPI 1932271632
  NPD

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

{
    "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": []
}

• 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

• Mental Health Counselor in Lynn, MA
• Providers in Lynn, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.