Jean M Bradanick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5927 Issued in MA

Practice address

97 Locust St
Haverhill, MA 01830-5643

Phone

(978) 373-7674

Fax

(978) 373-7783

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881746147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MONTGOMERY ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401725",
            "telephone_number": "978-373-7674",
            "fax_number": "978-373-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LOCUST ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305643",
            "telephone_number": "978-373-7674",
            "fax_number": "978-373-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADANICK",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Boucher
• Paula Boulanger, M.D.
• Stephen Francis Boy, PHD
• Rebecca Lynn Boyer, MD
• Clancy D Boynton, DMD
• Bradford House
• Jenna Bradish, DPT
• Bernard E Brady, M.D.
• Kelly Brady, RPT
• Anabel Brea, MSW

• Mental Health Counselor in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.