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EAST BAY PSYCHOLOGY, PC
NPI 1417346966
Psychologist - Clinical in Traverse City, MI

Active since January 21, 2015
3926 VILLAGE CIRCLE DR., TRAVERSE CITY, MI 49686(231) 938-5900(231) 938-5900 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About East Bay Psychology, Pc NPPES

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

EAST BAY PSYCHOLOGY, PC (NPI 1417346966) is a healthcare organization registered as a clinical in Traverse City, Michigan and active in the NPI registry since January 2015. The organization lists Terence Lee Bradley, Owner & Ceo, as its authorized official.

NPPES Registry Identity

NPI1417346966
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEAST BAY PSYCHOLOGY, PC
Location Address3926 VILLAGE CIRCLE DR.Traverse City, MI 49686
Mailing Address3926 Village Circle Dr.Traverse City, MI 49686 · (231) 938-5900 · Fax (231) 938-5900
Phone(231) 938-5900
Fax(231) 938-5900
Organization SubpartNo
Authorized OfficialTerence Lee BradleyOwner & Ceo · (231) 938-5900
Enumeration DateJanuary 21, 2015
Last NPPES UpdateJanuary 23, 2015
✔ NPI 1417346966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301002718
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
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Other Identifiers 3

Medicare UPINOM10140MI
Other0B81230MI · Bcbs-m
Other0Z5488MI · Bcbs-m

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 East Bay Psychology, PC's NPI number?

The NPI number for East Bay Psychology, PC is 1417346966. It was assigned to this organization in the NPPES registry on January 21, 2015.

Where is East Bay Psychology, PC located?

East Bay Psychology, PC is located at 3926 Village Circle Dr., Traverse City, MI 49686. The listed phone number is (231) 938-5900.

What is East Bay Psychology, PC'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 East Bay Psychology, PC was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.