Patricia J Hayman Bradshaw, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

036739 Issued in NY

Practice address

2300 Buffalo Rd
Building 100 Suite B
Rochester, NY 14624-1360

Phone

(585) 338-7972

Fax

(585) 338-2581

NPI assigned

Apr 25, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Patricia Hayman Bradshaw LCSW

  • Community/Behavioral Health Agency
  • Spencerport, NY
  • NPI 1780865600
  NPD (past) Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1952367153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 EASTBOURNE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175648",
            "telephone_number": "585-338-7972",
            "fax_number": "585-338-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BUILDING 100 SUITE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241360",
            "telephone_number": "585-338-7972",
            "fax_number": "585-338-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMAN BRADSHAW",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "036739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE CHOICE",
            "identifier": "PO10036739",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD/CH",
            "identifier": "PO10036739",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "PO10036739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samyra Hayes, LPN
• Sarah Hayes
• Sheri Hayes, M.A. CCC-SLP
• Tammy Jane Hayes, R.PH.
• Tyshonna Hayes, LPN
• Francenia Haynes
• Jeanne Haynes, L.C.S.W.
• Jeffrey Caleb Haynes, MD
• Sarah M Haynes, R.N.
• Tarica Simone Haynes, LPN

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.