Organization Active NPI

Bradford L. Stevens Psychology, P.C.

  • Psychologist
  • New York, NY
National Provider Identifier
1558008649
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BRADFORD L. STEVENS PSYCHOLOGY, P.C.
Practice address
300 E 75TH St Apt 20M
New York, NY 10021-3377
Phone
(917) 626-4364
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Bradford L. Stevens, PHDNPI 1457735664
Title
President
Phone
(917) 626-4364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

300 E 75TH St Apt 20M
New York, NY 10021-3377

Mailing address

300 E 75TH St Apt 20M
New York, NY 10021-3377
Phone (917) 626-4364

Other practice location 1

311 E 72nd St Apt 8H
New York, NY 10021-5254
Phone (917) 626-4364

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1558008649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 75TH ST APT 20M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213377",
            "telephone_number": "917-626-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 75TH ST APT 20M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213377",
            "telephone_number": "917-626-4364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 E 72nd St Apt 8H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215254",
            "country_code": "US",
            "telephone_number": "917-626-4364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADFORD L. STEVENS PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-626-4364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.