Bradley T Wilson Family Counseling Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRADLEY T WILSON FAMILY COUNSELING INC

Practice address

1451 Quail St Ste 112
Newport Beach, CA 92660-2742

Phone

(714) 253-4537

Fax

(949) 470-2642

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Thomas Wilson, LMFTNPI 1871244244

Title

Owner / Ceo

Phone

(714) 253-4537

Specialties & licenses 1

Addresses

Other names 1

• The OCD Treatment Center Doing business as

Locations

Practitioners 1

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

• Bradley Thomas Wilson, LMFT

  • Mental Health Counselor
  • Fountain Valley, CA
  • NPI 1871244244
  NPD Authorized official

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1619681152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 QUAIL ST STE 112",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602742",
            "telephone_number": "714-253-4537",
            "fax_number": "949-470-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 QUAIL ST STE 112",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602742",
            "telephone_number": "714-253-4537",
            "fax_number": "949-470-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY T WILSON FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "714-253-4537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The OCD Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The OCD Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thais Boyd
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• Kathy Bradley, MPT19913
• Amy M Braglia-Tarpey, M.S., R.D., CSR
• Brain and Spine Institute of California, Inc.
• Brain and Spine Surgeons of Orange County,a Medical Corporation
• Natalie Braker

• Adult Mental Health Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.