Active NPI
Jennifer Ann Bradtke, PSY.D., HSPP
- Psychologist
National Provider Identifier
1447447107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.007336
- Practice address
- 33 Eastgate Street
Stafford, STAFFORDSHIRE ST16 2LZ
GB - Phone
- (312) 219-5520
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.007336 | IL | Primary |
| Clinical Psychologist | 103TC0700X | TPPY495 | FL | |
| Clinical Psychologist | 103TC0700X | PSY-PSY-LIC-4851 | MT | |
| Clinical Psychologist | 103TC0700X | 20042723A | IN |
Addresses
Primary practice location
33 Eastgate Street
Stafford, STAFFORDSHIRE ST16 2LZ
GB
Mailing address
33 Eastgate Street
Stafford, STAFFORDSHIRE ST16 2LZ
GB
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 |
|---|---|---|---|
| 071.007336 | IL | MD | Psychologist |
| TPPY495 | FL | MD | Clinical Psychologist |
| 20042723A | IN | MD | Clinical Psychologist |
| PSY-PSY-LIC-4851 | MT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrizer, Inc. | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Francisco, CA
- NPI 1144999327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1447447107",
"addresses": [
{
"country_code": "GB",
"country_name": "Great Britain",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "33 EASTGATE STREET",
"city": "STAFFORD",
"state": "STAFFORDSHIRE",
"postal_code": "ST16 2LZ"
},
{
"country_code": "GB",
"country_name": "Great Britain",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "33 EASTGATE STREET",
"city": "STAFFORD",
"state": "STAFFORDSHIRE",
"postal_code": "ST16 2LZ",
"telephone_number": "312-219-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADTKE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY.D., HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.007336",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "TPPY495",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "PSY-PSY-LIC-4851",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042723A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.