Gary Bradley Stepp, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20042480A Issued in IN

Practice address

600 N Jordan Ave
Caps, 4TH Floor
Bloomington, IN 47405-3190

Phone

(812) 855-5711

NPI assigned

Sep 3, 2010

Last updated

Dec 19, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Brad Stepp, PSYD LLC

  • Clinical Psychologist
  • Bloomington, IN
  • NPI 1033807243
  NPD Authorized official

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1962719559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N JORDAN AVE",
            "address_2": "CAPS, 4TH FLOOR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053190",
            "telephone_number": "812-855-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N JORDAN AVE",
            "address_2": "CAPS, 4TH FLOOR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053190",
            "telephone_number": "812-855-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPP",
        "first_name": "GARY",
        "middle_name": "BRADLEY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042480A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Turpin, LLC
• Hannah Stephens
• Kathleen A Stephens, MSW LCSW
• Sharisse Marie Stephenson, MD
• Zenda Stephenson
• Stepping Stones, Inc.
• Lauren Theresa Steury, MS, CCC-SLP
• David J. Stevens, MD
• Eric C Stevens, DO
• Frank Stevens, PHD, HSPP

• Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.