Active NPI
Molly Marie Brady, PSY.D.
- Clinical Psychologist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0004637
- Practice address
- 1610 29TH Avenue PL Ste 200
Greeley, CO 80634-6800 - Phone
- (970) 352-8311
- Fax
- (970) 356-9884
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0004637 | CO | Primary |
Addresses
Primary practice location
1610 29TH Avenue PL Ste 200
Greeley, CO 80634-6800
Mailing address
1610 29TH Avenue PL Ste 200
Greeley, CO 80634-6800
Phone (970) 352-8311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4674 Snow Mesa Dr
Fort Collins, CO 80528-8615
Phone (970) 482-3712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0004637 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Health Psychology Associates PC | Psychologist | Current | Accepting new patients |
| Northwest Neurobehavioral Health PLLC | Clinical | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
4674 Snow Mesa Dr
Ste 100
Fort Collins, CO 80528
Phone (970) 482-3712
1610 29th Avenue Pl
Ste 200
Greeley, CO 80634
Phone (970) 352-8311
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Psychologist
- Greeley, CO
- NPI 1275655805
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Clinical Psychologist
- Boise, ID
- NPI 1518102797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1841550423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 29TH AVENUE PL STE 200",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346800",
"telephone_number": "970-352-8311",
"fax_number": "970-356-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 29TH AVENUE PL STE 200",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346800",
"telephone_number": "970-352-8311",
"fax_number": "970-356-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "MOLLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0004637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.