DR. KATHERINE MARY BRADSHAW M.D.
NPI 1114139698
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
2089 3RD AVE, NEW YORK, NY 10029(212) 828-6144(212) 828-6145 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Jul 25, 2019 (2 updates tracked since 2019).

About Dr. Katherine Mary Bradshaw M.d. NPPES

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

DR. KATHERINE MARY BRADSHAW M.D. (NPI 1114139698) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (247830) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Hahnemann University College Of Medicine (2001).

NPPES Registry Identity

NPI1114139698
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KATHERINE MARY BRADSHAWCredential: M.D.
Location Address2089 3RD AVENew York, NY 10029
Mailing Address2089 3rd AveNew York, NY 10029-2184 · (212) 828-6144
Fax(212) 828-6145
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 2001
Enumeration DateMay 4, 2007
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1114139698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 247830
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2089 3RD AVE, New York, NY 10029

Secondary Practice Location 1

Location 1125 E 23rd St Ste 304New York, NY 10010-4576 · Phone (917) 671-8238

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Katherine Mary Bradshaw M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719147925
PECOS Enrollment IDI20120327000020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Katherine Bradshaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
2089 3RD AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Mental Health
285 SCHERMERHORN STREET, 7TH FLOOR
Brooklyn, NY 11217
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
348 13TH ST, SUITE 203
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
289 services22 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
149 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
2089 3RD AVE
NEW YORK, NY 10029
Social Worker
2089 3RD AVE, UNION SETTLEMENT ASSOCIATION - JOHNSON COUNSELING CNTR
NEW YORK, NY 10029
Case Management
2089 3RD AVE
NEW YORK, NY 10029
Case Management
2089 3RD AVE
NEW YORK, NY 10029
Social Worker (Clinical)
2089 3RD AVE
NEW YORK, NY 10029
Case Manager/Care Coordinator
2089 3RD AVE
NEW YORK, NY 10029
Psychiatry & Neurology (Psychiatry)
2089 3RD AVE
NEW YORK, NY 10029
Social Worker (Clinical)
2089 3RD AVE
NEW YORK, NY 10029

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 Katherine Bradshaw's NPI number?

The NPI number for Katherine Bradshaw is 1114139698. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Katherine Bradshaw located?

Katherine Bradshaw practices at 2089 3rd Ave, New York, NY 10029. The listed phone number is (212) 828-6144.

What is Katherine Bradshaw's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Katherine Bradshaw enrolled in Medicare?

Yes. Katherine Bradshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katherine Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Bradshaw reassigns Medicare benefits to 3 organizations: Union Settlement Association (New York, NY), Brooklyn Bureau Of Community Service (Brooklyn, NY) and Park Slope Center For Mental Health, Inc (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Bradshaw was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.