DR. TERENCE LEE BRADLEY PHD
NPI 1033268149
Psychologist - Clinical in Traverse City, MI

Active since January 09, 2007
3926 VILLAGE CIRCLE DR, TRAVERSE CITY, MI 49686(231) 938-5900 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Terence Lee Bradley Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERENCE LEE BRADLEY PHD (NPI 1033268149) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (002718) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1033268149
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TERENCE LEE BRADLEYCredential: PHD
Location Address3926 VILLAGE CIRCLE DRTraverse City, MI 49686-6305
Mailing Address12501 Sw Torch Lake DrRapid City, MI 49676-9333 · (231) 883-3066
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateFebruary 15, 2017
NPI 1033268149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MI · 002718 Licensed in CA · CP11369
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3926 VILLAGE CIRCLE DR, Traverse City, MI 49686

Other Identifiers 3

Medicare UPINR16354CA
Medicare ID-Type UnspecifiedOM10140MI
Medicare ID-Type UnspecifiedCP11369CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terence Bradley's NPI number?

The NPI number for Terence Bradley is 1033268149. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Terence Bradley located?

Terence Bradley practices at 3926 Village Circle Dr, Traverse City, MI 49686. The listed phone number is (231) 938-5900.

What is Terence Bradley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Terence Bradley was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.