MS. KATHLEEN LOUISE BRADLEY P. T.
NPI 1376690776
Licensed Psychiatric Technician in Lakeport, CA

Active since January 05, 2007
991 PARALLEL DR, LAKEPORT, CA 95453(707) 263-4338 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen Louise Bradley P. T. NPPES

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

MS. KATHLEEN LOUISE BRADLEY P. T. (NPI 1376690776) is an individual licensed psychiatric technician in Lakeport, California, licensed in California (PT 30664) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1376690776
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMS. KATHLEEN LOUISE BRADLEYCredential: P. T.
Location Address991 PARALLEL DRLakeport, CA 95453
Mailing AddressP.o. Box 671Cobb, CA 95426-0671 · (707) 928-6712
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376690776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · PT 30664
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
991 PARALLEL DR, Lakeport, CA 95453

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.

Counselor (Mental Health)
991 PARALLEL DR
LAKEPORT, CA 95453
Counselor (Mental Health)
991 PARALLEL DR
LAKEPORT, CA 95453
Licensed Psychiatric Technician
991 PARALLEL DR
LAKEPORT, CA 95453
Nurse Practitioner (Psychiatric/Mental Health)
991 PARALLEL DR
LAKEPORT, CA 95453
Counselor (Mental Health)
991 PARALLEL DR
LAKEPORT, CA 95453
Counselor (Mental Health)
991 PARALLEL DR
LAKEPORT, CA 95453
Counselor (Mental Health)
991 PARALLEL DR
LAKEPORT, CA 95453
Marriage & Family Therapist
991 PARALLEL DR
LAKEPORT, CA 95453

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 Kathleen Bradley's NPI number?

The NPI number for Kathleen Bradley is 1376690776. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Kathleen Bradley located?

Kathleen Bradley practices at 991 Parallel Dr, Lakeport, CA 95453. The listed phone number is (707) 263-4338.

What is Kathleen Bradley's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Bradley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.