Active NPI
Stephen Paul Bradshaw, PH.D.
- Clinical Psychologist
- Chattanooga, TN
National Provider Identifier
1851381271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P1572
- Practice address
- 1815 McCallie Ave
Chattanooga, TN 37404-3026 - Phone
- (423) 756-2894
- Fax
- (423) 756-2899
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- 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 | P1572 | TN | Primary |
Addresses
Primary practice location
1815 McCallie Ave
Chattanooga, TN 37404-3026
Mailing address
1815 McCallie Ave
Chattanooga, TN 37404-3026
Phone (423) 756-2894
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1572 | TN | MD | Clinical Psychologist |
| 1572 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851381271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043026",
"telephone_number": "423-756-2894",
"fax_number": "423-756-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043026",
"telephone_number": "423-756-2894",
"fax_number": "423-756-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P1572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.