Active NPI
Patricia Hayman Bradshaw LCSW
- Community/Behavioral Health Agency
- Spencerport, NY
National Provider Identifier
1780865600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- R036739-1
- Legal business name
- PATRICIA HAYMAN BRADSHAW LCSW
- Practice address
- 85 S Union St
Suite 205
Spencerport, NY 14559-1255 - Phone
- (585) 349-2829
- Fax
- (585) 349-2767
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Jane Hayman Bradshaw, MSW/LCSW
- Title
- President
- Phone
- (585) 349-2829
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | R036739-1 | NY | Primary |
Addresses
Primary practice location
85 S Union St
Suite 205
Spencerport, NY 14559-1255
Mailing address
PO Box 485
N. Chili, NY 14514
Phone (585) 594-4574
National Provider Directory
National Provider DirectoryLocations
85 S Union St
Ste 205
Spencerport, NY 14559
Phone (585) 349-2829
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Rochester, NY
- NPI 1952367153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336003200000",
"number": "1780865600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 485",
"city": "N. CHILI",
"state": "NY",
"postal_code": "14514",
"telephone_number": "585-594-4574",
"fax_number": "585-594-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 S UNION ST",
"address_2": "SUITE 205",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591255",
"telephone_number": "585-349-2829",
"fax_number": "585-349-2767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA HAYMAN BRADSHAW LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2012-05-03",
"status": "A",
"authorized_official_last_name": "HAYMAN BRADSHAW",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-349-2829",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW/LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "R036739-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.