Active NPI
Bradley Gerald Sharp, M.S., L.L.P.
- Psychologist
- Shelby Township, MI
National Provider Identifier
1962626895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361007231
- Practice address
- 13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767 - Phone
- (586) 496-4398
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361007231 | MI | Primary |
Addresses
Primary practice location
13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767
Mailing address
13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767
Phone (586) 496-4398
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007231 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients | |
| The Guidance Center | Past | Accepting new patients | |
| The Guidance Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
-
- Community/Behavioral Health Agency
- Southgate, MI
- NPI 1083736953
-
- Community/Behavioral Health Agency
- Southgate, MI
- NPI 1609947027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1962626895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 23 MILE RD STE 103",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152767",
"telephone_number": "586-496-4398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 23 MILE RD STE 103",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152767",
"telephone_number": "586-496-4398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "BRADLEY",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "M.S., L.L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361007231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.