Active NPI
Bradford Michael Beebe, PHD, HSPP, BCBA-D
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1356344469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040970A
- Practice address
- 5505 N Post Rd
Indianapolis, IN 46216-1000 - Phone
- (317) 300-5725
- NPI assigned
- May 23, 2005
- Last updated
- May 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20040970A | IN | Primary |
| Clinical Psychologist | 103TC0700X | 128036 | KY | |
| Behavior Analyst | 103K00000X | 101602 | KY |
Addresses
Primary practice location
5505 N Post Rd
Indianapolis, IN 46216-1000
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-04-2089 | Other | BCBA-D CERTIFICATE | |
| 200185410A | Medicaid | IN |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101602 | KY | MD | Behavioral Analyst |
| 20040970A | IN | MD | Clinical Psychologist |
| 128036 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park View Psychiatric Services, PSC | Past | Accepting new patients | |
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
- NPI 1487872636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778889600000",
"number": "1356344469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 N POST RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462161000",
"telephone_number": "317-300-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "BRADFORD",
"middle_name": "MICHAEL",
"credential": "PHD, HSPP, BCBA-D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2026-05-16",
"certification_date": "2026-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040970A",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "128036",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "101602",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA-D CERTIFICATE",
"identifier": "1-04-2089",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200185410A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
- Tekla Renee Bedwell, NCTMB
- Bee Haven Holistic Health and Wellness Clinic
- Bee Homecare LLC
- Bee the Light Homecare LLC
- Bee Well Counseling LLC
- Beech Grove Chiropractic, Inc P.C.
- Beech Grove Foot Care Inc (Indy South foot AndAnkle)
- Beech Grove Urgent Care,Inc
- Beech Tree Consulting and Psychological Services
- Auja Beech
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.