Individual provider Active NPI

Kristin M Bradach, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1841266947
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32276 Issued in CA
Practice address
475 Lombard St
Apt 6
San Francisco, CA 94133-2464
Phone
(781) 492-0492
NPI assigned
Feb 27, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32276 CA Primary

Addresses

Primary practice location

475 Lombard St
Apt 6
San Francisco, CA 94133-2464

Mailing address

870 Market St Ste 617
San Francisco, CA 94102-3014
Phone (781) 492-0492

Other practice location 1

40 Walnut St Ste 302
Wellesley Hills, MA 02481-2175
Phone (617) 332-2047

Other practice location 2

870 Market St Ste 617
San Francisco, CA 94102-3014
Phone (650) 514-6011

Other names 1

  • Kristin McClenahan Bradach Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120618000140 MA Practitioner - Clinical Psychologist 5193989440 Reassigns benefits to 1 organization
I20210120001558 CA Practitioner - Clinical Psychologist 5193989440 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newton-Wellesley PsychiatryGroup PAC ID 1759282304, 20 clinicians

Practice addresses (Care Compare)

40 Walnut St
Suite 302
Wellesley, MA 02481-2175
Phone (617) 332-2047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32276CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton-Wellesley Psychiatry Clinical CurrentSince Apr 15, 1988 Accepting new patients
Thomas McDonagh Clinical PastSince Jan 7, 2024 Accepting new patients
Khan Clinical Associates Past Accepting new patients

Locations

2364 Washington St
Newton Lower Falls, MA 02462
Phone (617) 332-2047

40 Walnut St
Ste 302
Wellesley Hills, MA 02481
Phone (617) 332-2047

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1841266947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 617",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023014",
            "telephone_number": "781-492-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 LOMBARD ST",
            "address_2": "APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332464",
            "telephone_number": "781-492-0492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Walnut St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Wellesley Hills",
            "state": "MA",
            "postal_code": "024812175",
            "country_code": "US",
            "telephone_number": "617-332-2047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 Market St Ste 617",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941023014",
            "country_code": "US",
            "telephone_number": "650-514-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADACH",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BRADACH",
            "middle_name": "MCCLENAHAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.