Alisa Brady, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20363 Issued in CA

Practice address

785 Grand Ave Ste 212
Carlsbad, CA 92008-2371

Phone

(760) 793-8063

Fax

(760) 453-7055

NPI assigned

Apr 20, 2007

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

Other names 1

• Alisa Duclos Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• Adr Wellness a Professional Psychology Corporation

  • Psychiatry Physician
  • Carlsbad, CA
  • NPI 1073028742

  Psychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1164649992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE STE 212",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082371",
            "telephone_number": "760-793-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE STE 212",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082371",
            "telephone_number": "760-793-8063",
            "fax_number": "760-453-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ALISA",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "DUCLOS",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Adeline Bracha, LMFT
• Heather Lexus Bradford
• Bradley McCammack MD Inc
• Brittany Leigh Bradley
• Lana Bradley, LIC.AC.,DIPL
• Kelsey Branch
• Claire Brandeburg, LMFT
• Jacob Thomas Adam Brannon, PT, DPT
• Phyllis Kathryn Branson, L.M., C.P.M.
• Amanda Brawley

• Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.