Individual provider Active NPI

Tyler Chase Bradstreet, PHD

  • Psychologist
  • Overland Park, KS
National Provider Identifier
1851008148
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03556 Issued in KS
Practice address
8214 W 99TH St
Overland Park, KS 66212-3446
Phone
(903) 631-9319
NPI assigned
Nov 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 03556 KS Primary

Addresses

Primary practice location

8214 W 99TH St
Overland Park, KS 66212-3446

Mailing address

8214 W 99TH St
Overland Park, KS 66212-3446
Phone (903) 631-9319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38533TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1851008148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 W 99TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123446",
            "telephone_number": "903-631-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 W 99TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123446",
            "telephone_number": "903-631-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSTREET",
        "first_name": "TYLER",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "03556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.