NPIMap

Organization Active NPI

Jacqueline Bradley-Diver

  • Community/Behavioral Health Agency
  • West Chester, PA
National Provider Identifier
1851644348
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JACQUELINE BRADLEY-DIVER
Practice address
416 Trolley Way
West Chester, PA 19382-4310
Phone
(610) 357-1817
NPI assigned
Oct 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Authorized official

Name
Ms. Jacqueline Ann Bradley-Diver, MA
Title
Behavior Specialist - Mt
Phone
(610) 357-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

416 Trolley Way
West Chester, PA 19382-4310

Mailing address

416 Trolley Way
West Chester, PA 19382-4310
Phone (610) 357-1817

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350777600000",
    "number": "1851644348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 TROLLEY WAY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824310",
            "telephone_number": "610-357-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 TROLLEY WAY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824310",
            "telephone_number": "610-357-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE BRADLEY-DIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A",
        "authorized_official_last_name": "BRADLEY-DIVER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST - MT",
        "authorized_official_telephone_number": "610-357-1817",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.