DR. JOHN WESLEY ADDIS PHD
NPI 1306028105
Psychologist in Bradford, PA

Active since December 04, 2007
23 KENNEDY STREET, SUITE 202, BRADFORD, PA 16701(814) 362-2136(814) 362-2136 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Wesley Addis Phd NPPES

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

DR. JOHN WESLEY ADDIS PHD (NPI 1306028105) is an individual psychologist in Bradford, Pennsylvania, licensed in Pennsylvania (PS002352L) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1306028105
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN WESLEY ADDISCredential: PHD
Location Address23 KENNEDY STREET, SUITE 202Bradford, PA 16701-2005
Mailing Address23 Kennedy Street, Suite 202Bradford, PA 16701-2005 · (814) 362-2136 · Fax (814) 362-2468
Fax(814) 362-2136
Sole ProprietorYes
Enumeration DateDecember 4, 2007
NPI 1306028105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS002352L
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
23 KENNEDY STREET, Bradford, PA 16701

Other Identifiers 8

Other00050141001PA · Hmo
Other6803636PA · Value Options
Other0004277250PA · Aetna
Medicare UPIN4277250PA
Other000507570001NY · Bcbs Of Wny
Other031013PA · Bcbs
OtherP009953PA · Tricare
Other1415000PA · Megallan

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 John Addis's NPI number?

The NPI number for John Addis is 1306028105. It was assigned to this individual provider in the NPPES registry on December 4, 2007.

Where is John Addis located?

John Addis practices at 23 Kennedy Street Suite 202, Bradford, PA 16701. The listed phone number is (814) 362-2136.

What is John Addis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for John Addis was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.