Active NPI
Bradley Scott Beam, PH.D.
- Psychologist
- Millersville, MD
National Provider Identifier
1598091985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 04627
- Practice address
- 8229 Cloverleaf Drive; Suite 425
Halcyon Wellness Center
Millersville, MD 21108-2645 - Phone
- (443) 875-5509
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CER-152895-W5D7H2 | MD | |
| Psychologist | 103T00000X | 04627 | MD | Primary |
Addresses
Primary practice location
8229 Cloverleaf Drive; Suite 425
Halcyon Wellness Center
Millersville, MD 21108-2645
Mailing address
1409 Falcon Nest Court
Arnold, MD 21012
Phone (443) 875-5509
Other practice location 1
2644 Riva Rd
Annapolis, MD 21401-7427
Phone (410) 222-5321
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CER-152895-W5D7H2 | MD | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halcyon Wellness Center, LLC | 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.
-
- Community/Behavioral Health Agency
- Millersville, MD
- NPI 1699181099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1598091985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 FALCON NEST COURT",
"city": "ARNOLD",
"state": "MD",
"postal_code": "21012",
"telephone_number": "443-875-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8229 CLOVERLEAF DRIVE; SUITE 425",
"address_2": "HALCYON WELLNESS CENTER",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082645",
"telephone_number": "443-875-5509"
}
],
"practiceLocations": [
{
"address_1": "2644 Riva Rd",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214017427",
"country_code": "US",
"telephone_number": "410-222-5321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAM",
"first_name": "BRADLEY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "CER-152895-W5D7H2",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.