Chris Brady Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHRIS BRADY THERAPY LLC

Practice address

725 S Adams Rd Ste L-167
Birmingham, MI 48009-6987

Phone

(248) 231-3620

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Christopher L Brady, LMSW

Title

Owner / Psychotherapist

Phone

(248) 231-3620

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1124673108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 GRAYSON ST APT A",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201097",
            "telephone_number": "248-231-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S ADAMS RD STE L-167",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096987",
            "telephone_number": "248-231-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS BRADY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "248-231-3620",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW- LICENSED MASTERS SOCIAL WORKER",
            "identifier": "6801096831",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrady@chrisbradytherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "725 S Adams Rd Ste L-167",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480096987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.