Michael J. Richards-Bradt, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

047.0098988 Issued in VT

Legal business name

MICHAEL J. RICHARDS-BRADT, LLC

Practice address

1233 Shelburne Rd Ste 360
South Burlington, VT 05403-7752

Phone

(802) 497-1920

Fax

(802) 860-1625

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Michael J. Richards-Bradt, MANPI 1609231638

Title

Licensed Psychologist-Master

Phone

(802) 497-1920

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael James Richards-Bradt, MA

  • Clinical Psychologist
  • South Burlington, VT
  • NPI 1609231638
  NPD (past) Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1225491244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 360",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037752",
            "telephone_number": "802-497-1920",
            "fax_number": "802-860-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 360",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037752",
            "telephone_number": "802-497-1920",
            "fax_number": "802-860-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. RICHARDS-BRADT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDS-BRADT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST-MASTER",
        "authorized_official_telephone_number": "802-497-1920",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "047.0098988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.