Active NPI
Bradley Mitchell Greenspan, PSY.D.
- Clinical Psychologist
- Langhorne, PA
National Provider Identifier
1326264268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS015765
- Practice address
- 1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009 - Phone
- (215) 860-0848
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS015765 | PA | Primary |
Addresses
Primary practice location
1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009
Mailing address
1816 Tripp Ave
Jamison, PA 18929-1801
Phone (267) 574-1007
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS015765 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Don G Seraydarian PHD & Associates LLC | Past | 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.
-
- Psychologist
- Langhorne, PA
- NPI 1215170964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326264268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 TRIPP AVE",
"city": "JAMISON",
"state": "PA",
"postal_code": "189291801",
"telephone_number": "267-574-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 LANGHORNE NEWTOWN RD",
"address_2": "SUITE 4",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471009",
"telephone_number": "215-860-0848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSPAN",
"first_name": "BRADLEY",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS015765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.