Individual provider Active NPI

Lyssi Harding Brady, PSYD

  • Psychologist
  • Wauwatosa, WI
National Provider Identifier
1154856532
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5417-57 Issued in WI
Practice address
2380 N 124TH St
Wauwatosa, WI 53226-1071
Phone
(608) 571-2774
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810008980 VA
Psychologist 103T00000X 5417-57 WI Primary

Addresses

Primary practice location

2380 N 124TH St
Wauwatosa, WI 53226-1071

Mailing address

7410 Hull Street Rd Ste 200
North Chesterfield, VA 23235-5834

Other names 1

  • Lyssi Brady Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810008980VAMDPsychologist
5417-57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific University Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1154856532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 HULL STREET RD STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 124TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261071",
            "telephone_number": "608-571-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING BRADY",
        "first_name": "LYSSI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810008980",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "5417-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYSSI",
            "last_name": "BRADY",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.