Crystal Marie Bradley, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

315 Hudson St FL 2
New York, NY 10013-1040

Phone

(212) 366-0066

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1316126659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LEXINGTON AVE APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161175",
            "telephone_number": "347-853-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HUDSON ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131040",
            "telephone_number": "212-366-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber N Bradley
• Briana Christen Bradley, MSN, CPNP-PC
• Caitlin Bradley, PA-C
• Christopher Pierce Bradley, MD
• Corey Kaegebein Bradley, M.D.
• Eleanor Bradley, CRNA
• Emily Bradley, LCAT
• Hannah Bradley, PSYD
• Ishmeal Earl Bradley, MD, MPH
• Joseph Thomas Bradley, STUDENT

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.