Bradley N. Axelrod, PHD, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301007688 Issued in MI

Legal business name

BRADLEY N. AXELROD, PHD, PLLC

Practice address

2350 Washtenaw Ave
Suite 7
Ann Arbor, MI 48104-4532

Phone

(734) 913-0627

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bradley N Axelrod, PH.D.

Title

Psychologist

Phone

(734) 913-0627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1811207830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-913-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-913-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY N. AXELROD, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "AXELROD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-913-0627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301007688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bracy
• Bianca C Bradford
• Carol R Bradford, MD
• Stuart A Bradin, DO
• Bradley E Seel DPM PC
• David James Bradley, M.D.
• Erin Bradley, LLPC
• John D Bradley, M.D.
• Kristin Bradley, PHARMD, BCPS
• Rayanne M Bradley, RBT

• All providers in Ann Arbor, MI
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.