Dennis Anthony Bradley Sr., PSYCHOTHERAPIST

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

63 Fairmount St
Fitchburg, MA 01420-7613

Phone

(508) 733-0981

Fax

(978) 345-7166

NPI assigned

Apr 10, 2007

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cleghorn Professional Counseling Center

  • Exclusive Provider Organization
  • Fitchburg, MA
  • NPI 1497052930
  Authorized official Same address or phone
• Cleghorn Professional Counseling Center

  • Adult Mental Health Clinic/Center
  • Fitchburg, MA
  • NPI 1598052664
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1841313046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 RIVER ST",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751013",
            "telephone_number": "978-342-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FAIRMOUNT ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207613",
            "telephone_number": "508-733-0981",
            "fax_number": "978-345-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014208142",
            "country_code": "US",
            "telephone_number": "978-343-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DENNIS",
        "middle_name": "ANTHONY",
        "name_suffix": "Sr.",
        "credential": "PSYCHOTHERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nance Anne Boudreau, MA
• Stephen John Bourgault, O.D.
• Amanda Bourque
• Diane S Bouvier
• Zaira Owen Boylan, MA
• Mark Edward Bradley, CLINICIAN
• Judith D. Bralove, MSW, LICSW
• Brandon Jeffery LMHC PLLC
• Hannah Brassard
• Leonard Marshall Brassard

• Mental Health Counselor in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.