Sade Monique Bradford, BHPP
Individual provider Active NPI Case Manager/Care Coordinator · Phoenix, AZ
NPI 1740686104 · NPPES record last updated Nov 13, 2014
Key facts
- NPI
- 1740686104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 119 W Highland Ave
Phoenix, AZ 85013-2730 - Phone
- (602) 808-2829
- Fax
- (602) 808-2751
- NPI assigned
- Nov 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifewell Behavioral Wellness | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
119 W Highland Ave
Phoenix, AZ 85013-2730
Mailing address
202 E Earll Dr
Suite 200
Phoenix, AZ 85012-2647
Phone (602) 599-5404
Other providers in Phoenix, AZ
- Braden Partners LP
- Nancy Jo Braden
- Chas Edward Bradford-Green
- Clarissa Bradford
- James Cannon Bradford III
- Teresa Bradford
- Bradley S Baker MD PLLC
- Patricia L. Bradley-Bates
- Aspen Leigh Bradley-Wolfe
- Brianna Bradley
All providers in Phoenix, AZ · Case Manager/Care Coordinator in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.