Individual provider Active NPI

Bruce Bradley-Gilbert, LMHC, ATR

  • Art Therapist
  • Northampton, MA
National Provider Identifier
1427542166
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
12301
Practice address
35 State St
Northampton, MA 01060-3035
Phone
(413) 931-5811
NPI assigned
Jun 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3806 MA
Art Therapist 221700000X 12301 Primary

Addresses

Primary practice location

35 State St
Northampton, MA 01060-3035

Mailing address

172 Overlook Dr
Florence, MA 01062-3529
Phone (413) 320-7939

Other identifiers 2

IdentifierTypeStateIssuer
3806OtherMALICENSED MENTAL HEALTH COUNSELOR (LMHC) MA
12301OtherAMERICAN ART THERAPY ASSOCIATION REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 13, 2024 through Nov 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1427542166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 OVERLOOK DR",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623529",
            "telephone_number": "413-320-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 STATE ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603035",
            "telephone_number": "413-931-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY-GILBERT",
        "first_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LMHC, ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-17",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "3806",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "12301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR (LMHC) MA",
            "identifier": "3806",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ART THERAPY ASSOCIATION REGISTRATION",
            "identifier": "12301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.