Matthew Bradstock

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

118 Point Judith Rd
Narragansett, RI 02882-3479

Phone

(401) 633-2929

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1295341568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 POINT JUDITH RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823479",
            "telephone_number": "401-633-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 POINT JUDITH RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823479",
            "telephone_number": "401-633-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSTOCK",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna Bellavia
• Benefit Rehabilitation, LLC
• Melissa Dawn Bicknell, RPH
• Christopher S Black, DC
• Brenda Anne Bliss, FNP
• Shawn P Brennan, P.T.
• Terry Bridgewater, MSPT
• Leah Briones, MD
• Arthur Brouillette
• Tracey Anne Buffum, MED

• Mental Health Counselor in Narragansett, RI
• Providers in Narragansett, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.