Individual provider Active NPI

Holly R Bradbury, PH.D.

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1992149496
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY11692 Issued in CA
Practice address
Counseling and Psychological Services BLDG 599
University of California
Santa Barbara, CA 93106-7030
Phone
(805) 893-4411
Fax
(805) 893-5259
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY11692 CA Primary

Addresses

Primary practice location

Counseling and Psychological Services BLDG 599
University of California
Santa Barbara, CA 93106-7030

Mailing address

Counseling and Psychological Services BLDG 599
University of California
Santa Barbara, CA 93106-7030
Phone (805) 893-4411

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11692CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1992149496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COUNSELING AND PSYCHOLOGICAL SERVICES BLDG 599",
            "address_2": "UNIVERSITY OF CALIFORNIA",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067030",
            "telephone_number": "805-893-4411",
            "fax_number": "805-893-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COUNSELING AND PSYCHOLOGICAL SERVICES BLDG 599",
            "address_2": "UNIVERSITY OF CALIFORNIA",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067030",
            "telephone_number": "805-893-4411",
            "fax_number": "805-893-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "HOLLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.