Bradshaw Psycholgical Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRADSHAW PSYCHOLGICAL SERVICES

Practice address

1751 Southcross Dr W
Burnsville, MN 55306-7012

Phone

(952) 892-7690

Fax

(952) 898-4930

NPI assigned

Aug 20, 2012

Last updated

Aug 20, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy L Bradshaw, RN CNPNPI 1063596096

Title

1St Gov

Phone

(952) 892-7690

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy L Bradshaw, RN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Burnsville, MN
  • NPI 1063596096
  Authorized official Same address or phone
• David R Bradshaw, MED, LP

  • Psychologist
  • Burnsville, MN
  • NPI 1093890782
  NPD

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1992053169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7637 15TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285600",
            "telephone_number": "952-892-7690",
            "fax_number": "952-898-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SOUTHCROSS DR W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067012",
            "telephone_number": "952-892-7690",
            "fax_number": "952-898-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADSHAW PSYCHOLGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "1ST GOV",
        "authorized_official_telephone_number": "952-892-7690",
        "authorized_official_credential": "RN CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Bos
• Elliott James Bosak
• Kelli Denk Bosholm, PT
• Kelley Boylan
• Elizabeth N Boyum, PA
• David R Bradshaw, MED, LP
• Emily Bradshaw
• Nancy L Bradshaw, RN, CNP
• Sharice Brady, DPT
• Chantay Cherie Branch

• Adult Mental Health Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.