Joseph Ross Bradley, PMHNP, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95028253 Issued in CA

Practice address

339 Pajaro St
Salinas, CA 93901-3400

Phone

(831) 800-7530

NPI assigned

Sep 25, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Interim IncGroup PAC ID 0941636609, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interim, Inc.

  dba Interim Manzanita Monterey Crisis Residential Short Term

  • Mental Illness Community Based Residential Treatment Facility
  • Monterey, CA
  • NPI 1407344641
  Medicare reassignment Care Compare group NPD
• Interim, Inc.

  dba Interim Shelter Cove

  • Community/Behavioral Health Agency
  • Marina, CA
  • NPI 1720399009
  NPD
• Interim, Incorporated

  • Community/Behavioral Health Agency
  • Monterey, CA
  • NPI 1336327337
  NPD
• Interim, Inc.

  dba Interim Wellness and Recovery Academy

  • Mental Illness Community Based Residential Treatment Facility
  • Marina, CA
  • NPI 1447755798
  NPD (past)
• Interim, Inc.

  dba Interim Manzanita House Crisis Short Term

  • Mental Illness Community Based Residential Treatment Facility
  • Salinas, CA
  • NPI 1932324381
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1912786401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 OAK ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014130",
            "telephone_number": "605-484-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013400",
            "telephone_number": "831-800-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JOSEPH",
        "middle_name": "ROSS",
        "credential": "PMHNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Boyle, L. AC.
• Bozzo Chiropractic Professional Corporation
• Kathleen Ann Bozzo, D.C.
• Vincent J Bozzo, D.C.
• Bradley W. Carpentier, M.D., Inc.
• Pearson Bradley
• Jeanne Miranda Gapac Brady, PHARMD
• Kelsey Brady
• Brandi Reynolds-Casey PHD
• Lilly Evangeline Brandon

• Psychiatric/Mental Health Nurse Practitioner in Salinas, CA
• Providers in Salinas, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.