G. Kenneth Bradford, III, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12277 Issued in CA

Legal business name

G. KENNETH BRADFORD, III, PHD

Practice address

936 Dewing Ave Ste E
Lafayette, CA 94549-4246

Phone

(925) 283-9377

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Kenneth Bradford III, PHD

Title

Psychologist/Owner

Phone

(925) 283-9377

Specialties & licenses 2

Addresses

Other names 1

• Diablo Valley Psychotherapy Associates Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• G. Kenneth Bradford III, PHD

  • Clinical Psychologist
  • Lafayette, CA
  • NPI 1942470133
  NPD (past)
• Johanna Marie McShane, PHD

  • Psychologist
  • Lafayette, CA
  • NPI 1518271576
  NPD (past)
• Sigmund Moskovitz NA, MA,PHD,MFT

  • Mental Health Counselor
  • Lafayette, CA
  • NPI 1689682536
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1508896416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 DEWING AVE STE E",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494246",
            "telephone_number": "925-283-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 DEWING AVE STE E",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494246",
            "telephone_number": "925-283-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. KENNETH BRADFORD, III, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "925-283-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12277",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY12277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diablo Valley Psychotherapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clare Taylor Friedman, PH.D.
• Jeffrey Craig Friedman, M.D.
• Neil S. Fruman, M.D.
• Fulton Enterprises
• Kathryn Ann Furst, PH.D.
• Veronica Gacula
• Janis Arian Hernandez Galindez, OTD, OTR/L
• Alejandra Gallardo
• Christina M Gallo, MS, OTR/L
• Miriam Catalina Garcia Grajeda, OTD, OTR/L

• Psychologist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.