Jennifer K Bradley, PSYD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3451 Issued in AZ

Legal business name

JENNIFER K BRADLEY, PSYD LLC

Practice address

4500 S Lakeshore Dr
Ste 345
Tempe, AZ 85282-7052

Phone

(480) 917-3255

Fax

(480) 838-9022

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer K Bradley, PSYD

Title

Clinical Psychologist

Phone

(480) 917-3255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1174071963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LAKESHORE DR",
            "address_2": "STE 345",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827052",
            "telephone_number": "480-917-3255",
            "fax_number": "480-838-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LAKESHORE DR",
            "address_2": "STE 345",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827052",
            "telephone_number": "480-917-3255",
            "fax_number": "480-838-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER K BRADLEY, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-917-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coquece Jenkins
• Haley Jenkins
• Sarah Anne Jenkins, MC, LPC
• Jennifer E Boll MD Inc
• Jennifer Johnstad LLC
• Bodrie J Jensen, DO
• Nevin Jensen, DMD
• Rebecca Jensen, LPC
• Ryleigh Jensen, BS, BHT
• Jesikamckenziebhi LLC

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.