Bradford Bedar, ED.D.
Individual provider Active NPI Psychologist · Needham, MA
NPI 1871657650 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871657650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2779 (MA)
- Practice address
- 1253 Great Plain Ave
Needham, MA 02492-1719 - Phone
- (781) 449-0087
- Fax
- (781) 449-8684
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
66 Fisher St
Norwood, MA 02062-1921
Phone (781) 449-0087
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051216000045 | MA | Practitioner - Clinical Psychologist | 2567483605 | Practice locations: Norwood, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodman Medical P.C. | Past | Accepting new patients | |
| Westwood Counseling Associates | Psychologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2779 | MA | Yes |
Addresses
Primary practice location
1253 Great Plain Ave
Needham, MA 02492-1719
Mailing address
1253 Great Plain Ave
Needham, MA 02492-1719
Phone (781) 449-0087
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003279 | Other | MA | HARVARD PILGRIM |
Other providers in Needham, MA
- Elisabeth C Bassler
- Marjorie Greenwell Clapp Bates
- Gregory Mark Bayse
- Beacon Hill Behavioral Health PLLC
- Wendy P. Beaumier
- Kathryn Bedard
- Abigail Anne Behar
- Kristin B. Behenna
- Alex Michael Bejian
- Roman Belenkiy
All providers in Needham, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.