Cheryl Niemi Bradish, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15712 Issued in CA

Practice address

15525 Pomerado Rd
Suite E3
Poway, CA 92064-2435

Phone

(858) 592-6644

Fax

(858) 592-6393

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Within Sight Psychological and Integrated Solutions, IncGroup PAC ID 1850726209, 2 clinicians

Practice addresses (Care Compare)

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.

• Within Sight Psychological and Integrated Solutions, Inc

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1215596846
  Medicare reassignment Care Compare group NPD
• Within Sight Psychological and Integrated Solutions, Inc

  • Psychologist
  • San Diego, CA
  • NPI 1215509898
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184631863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD",
            "address_2": "SUITE E3",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642435",
            "telephone_number": "858-592-6644",
            "fax_number": "858-592-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD",
            "address_2": "SUITE E3",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642435",
            "telephone_number": "858-592-6644",
            "fax_number": "858-592-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADISH",
        "first_name": "CHERYL",
        "middle_name": "NIEMI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Bolanos
• Maya Marie Bonelli
• Manveen Boparai
• Kenneth Earl Bowman
• Victoria Lee Boyle, F.N.P
• Spencer Bradley
• Katherine F Bradshaw-Smith, PHYSICIAN ASST CERT
• Ruby Brand
• Charlotte Leslie Brandt
• Brannon & Brannon a Professional Corporation

• Clinical Psychologist in Poway, CA
• Providers in Poway, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.