DR. JENNIFER ELIZABETH BRADLEY PSY.D., HSPP
NPI 1326250184
Psychologist in Bloomington, IN

Active since May 04, 2007Opted out of Medicare · through Jun 8, 2027
205 N COLLEGE AVE STE 514, BLOOMINGTON, IN 47404(812) 339-7071 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jennifer Elizabeth Bradley Psy.d., Hspp NPPES

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

DR. JENNIFER ELIZABETH BRADLEY PSY.D., HSPP (NPI 1326250184) is an individual psychologist in Bloomington, Indiana, licensed in Indiana (20041769A) and active in the NPI registry since May 2007. She has opted out of Medicare through June 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326250184
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER ELIZABETH BRADLEYCredential: PSY.D., HSPP
Location Address205 N COLLEGE AVE STE 514Bloomington, IN 47404-3952
Mailing Address205 N College Ave Ste 514Bloomington, IN 47404-3952 · (812) 339-7071
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateSeptember 30, 2010
NPI 1326250184 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 IN · 20041769A
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.

205 N COLLEGE AVE STE 514, Bloomington, IN 47404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jennifer Elizabeth Bradley Psy.d., Hspp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 8, 2017 through June 8, 2027.

Opt-Out Effective DateJune 8, 2017
Opt-Out In Effect ThroughJune 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
205 N COLLEGE AVE STE 514
BLOOMINGTON, IN 47404

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 Jennifer Bradley's NPI number?

The NPI number for Jennifer Bradley is 1326250184. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Jennifer Bradley located?

Jennifer Bradley practices at 205 N College Ave Ste 514, Bloomington, IN 47404. The listed phone number is (812) 339-7071.

What is Jennifer Bradley's specialty?

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

Is Jennifer Bradley enrolled in Medicare?

No. Jennifer Bradley has opted out of Medicare through June 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Bradley was last updated on September 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.