John Bradford Price, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY35292 Issued in CA

Practice address

8023 PSC
Psychology Department
Havelock, NC 28533-8000

Phone

(858) 220-6833

NPI assigned

Aug 13, 2006

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1417960592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BAHAMA BND",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183219",
            "telephone_number": "858-220-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 PSC",
            "address_2": "PSYCHOLOGY DEPARTMENT",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285338000",
            "telephone_number": "858-220-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JOHN",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1482",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Paul, DO
• Keegan Paulson, MD
• Mary Pelton, DNP, RN, PMHNP-BC
• Amy Mercer Peoples
• Stefen Charles Petry, DPT
• Sara Janine Quan, M.D.
• Alison Quebedeaux, RD, LDN
• Quicker Care Clinic PA
• Isabelle B Ragsdale, PH. D.
• Meredith Brooke Reagan

• Clinical Psychologist in Havelock, NC
• Providers in Havelock, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.