Active NPI
Kathryn Marie Bradley, PSY.D.
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1598020828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1680
- Practice address
- 2319 Lime Kiln LN
Suite B
Louisville, KY 40222-3417 - Phone
- (859) 750-1531
- NPI assigned
- Jul 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1680 | KY | Primary |
| Clinical Psychologist | 103TC0700X | 4223 | NC |
Addresses
Primary practice location
2319 Lime Kiln LN
Suite B
Louisville, KY 40222-3417
Mailing address
2319 Lime Kiln LN
Suite B
Louisville, KY 40222-3417
Phone (859) 750-1531
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 |
|---|---|---|---|
| 1680 | KY | MD | Clinical Psychologist |
| 4223 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1598020828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 LIME KILN LN",
"address_2": "SUITE B",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223417",
"telephone_number": "859-750-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 LIME KILN LN",
"address_2": "SUITE B",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223417",
"telephone_number": "859-750-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "1680",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.