Michael James Richards-Bradt, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

047.0098988 Issued in VT

Practice address

1233 Shelburne Rd Ste 360
South Burlington, VT 05403-7752

Phone

(802) 383-8543

NPI assigned

Dec 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Michael J. Richards-Bradt, LLC

  • Clinical Psychologist
  • South Burlington, VT
  • NPI 1225491244
  NPD (past) Authorized official

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1609231638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 360",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037752",
            "telephone_number": "802-497-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 360",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037752",
            "telephone_number": "802-383-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS-BRADT",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "047.0098988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026473",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron W Reiter, M.D.
• Tiffany Renaud, D.C.
• Retina Center of Vermont, Inc
• Samantha Rhoads, LADC
• Lauren Brogna Richard, PA-C
• Heather Ripley, RN
• Erich Ristau
• Jeanette Rivera
• Beth Erin Robbins, PSY.D.
• Robert D Gordon MD Professional Corp

• Clinical Psychologist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.