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

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 CNP

Title

1St Gov

Phone

(952) 892-7690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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.