Active NPIIndividual providerSole proprietor

Amelia Bradley

Nurse Practitioner, Psych/Mental Health in Nyack, New York

NPI Number1326788274
Practice location
339 N Broadway, Nyack, NY 10960-1522
Fax
—
Last updated
October 28, 2022

Amelia Bradley is a Nurse Practitioner, Psych/Mental Health based in Nyack, NY. Amelia Bradley practices in Nyack, NY. The NPI Number for Amelia Bradley is 1326788274 and holds a License No. 2347475 (MA). The current practice location address for Amelia Bradley is 339 N Broadway, Nyack, NY 10960-1522 and can be reached out via phone at 845-818-2733.

Provider Profile Details

NPI Number
1326788274
Provider Name
Amelia Bradley
Provider Entity Type
Individual
Gender
Female
Address
339 N Broadway, Nyack, NY 10960-1522
Phone Number
845-818-2733
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2022
Last Update Date
October 28, 2022
Certification Date
September 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
339 N Broadway
Nyack, NY 10960-1522
City
Nyack
Zip
10960-1522
Phone Number
845-818-2733
Nyack, NY 10960Get directions →

Provider Business Mailing Address Details

Address
124 S Cross RD
Staatsburg, NY 12580-6031
City
Staatsburg
State
NY
Zip
12580-6031
Phone Number
781-414-1813

License Information

License Number (1)
2347475
License State (1)
MA
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
404504
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amelia Bradley?

The NPI number of Amelia Bradley is 1326788274. It was assigned on March 30, 2022 and is currently active in the NPPES registry.

What is the specialty of Amelia Bradley?

Amelia Bradley is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 2347475.

Where does Amelia Bradley practice?

The practice location is 339 N Broadway, Nyack, NY 10960-1522. The office can be reached at 845-818-2733 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326788274 directly on the NPPES registry website.

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