NPIMap

Individual provider Active NPI

Kara Ann Bradford, SCHOOL PSYCHOLOGIST

  • School Psychologist
  • North Canton, OH
National Provider Identifier
1194458380
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP.00690 Issued in OH
Practice address
1201 S Main St Ste 100
North Canton, OH 44720-4283
Phone
(330) 244-8782
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH
School Psychologist 103TS0200X SP.00690 OH Primary

Addresses

Primary practice location

1201 S Main St Ste 100
North Canton, OH 44720-4283

Mailing address

704 39TH St SW
Canton, OH 44706-4819
Phone (330) 501-3037

Other names 1

  • Kara Ann Nichols Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbradford@vistapcc.com Direct Vista Psychological & Counseling Centre LLC

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
SP.00690OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Psychological & Counseling Centre LLC PastSince Jul 10, 2022 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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1194458380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 39TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447064819",
            "telephone_number": "330-501-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST STE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204283",
            "telephone_number": "330-244-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "KARA",
        "middle_name": "ANN",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP.00690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbradford@vistapcc.com",
            "affiliation": "Y",
            "affiliationName": "Vista Psychological & Counseling Centre LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1201 S Main St Ste 100",
            "city": "North Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447204283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "NICHOLS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.