Active NPI
Jennifer M. Bradley, PHD
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1740385145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6264
- Practice address
- 2139 Auburn Avenue
Cincinnati, OH 45219 - Phone
- (513) 585-2000
- NPI assigned
- Sep 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6264 | OH | Primary |
Addresses
Primary practice location
2139 Auburn Avenue
Cincinnati, OH 45219
Mailing address
7905 Tylers Way
West Chester, OH 45069
Phone (513) 777-3123
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6264 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740385145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 TYLERS WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069",
"telephone_number": "513-777-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 AUBURN AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-585-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JENNIFER",
"middle_name": "M.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.