Active NPI
Bradley Lloyd Schweda, MA, LLP
- Clinical Psychologist
- Jackson, MI
National Provider Identifier
1952462574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301010119
- Practice address
- 4611 County Farm Rd
Jackson, MI 49201-9091 - Phone
- (517) 937-0523
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301010119 | MI | Primary |
Addresses
Primary practice location
4611 County Farm Rd
Jackson, MI 49201-9091
Mailing address
4611 County Farm Rd
Jackson, MI 49201-9091
Phone (517) 937-0523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 633293 | Other | MI | PPOM |
| L553918 | Other | MI | MAGELLON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010119 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Hills Psychological Services PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Jackson, MI
- NPI 1750579629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952462574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 COUNTY FARM RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019091",
"telephone_number": "517-937-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 COUNTY FARM RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019091",
"telephone_number": "517-937-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWEDA",
"first_name": "BRADLEY",
"middle_name": "LLOYD",
"name_prefix": "Mr.",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301010119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "633293",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLON",
"identifier": "L553918",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- 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.