DR. STACY DENISE BRADLEY PSY.D.
NPI 1437274776
Psychologist - Clinical in Charlotte, NC

Q: What is Stacy Bradley's NPI number?

The NPI number for Stacy Bradley is 1437274776. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Stacy Bradley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Bradley was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

620 TOM HUNTER RD, CHARLOTTE, NC 28213(276) 601-6197 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2023, Jan 3, 2021, Jul 9, 2020 and 2 more (5 updates tracked since 2020).

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About Dr. Stacy Denise Bradley Psy.d. NPPES

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

DR. STACY DENISE BRADLEY PSY.D. (NPI 1437274776) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (2845) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1437274776

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STACY DENISE BRADLEYCredential: PSY.D.

Location Address620 TOM HUNTER RDCharlotte, NC 28213-5511

Mailing Address5261 Carrollton Pike, Suite EWoodlawn, VA 24381 · (276) 601-6197

Phone(276) 601-6197

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 19, 2007

Last NPPES UpdateJanuary 3, 20215 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2021

✔ NPI 1437274776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 2845

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.

Also ListedPsychologistTaxonomy 103T00000X · License 2845 (NC)

620 TOM HUNTER RD, Charlotte, NC 28213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacy Denise Bradley Psy.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 ID7416378369

PECOS Enrollment IDI20200601000899

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.

Areas of Expertise CMS Part B claims 4

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, 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.

293 services36 patients

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.

231 services42 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

137 services27 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

78 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 12

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

MICHELLE LYNN RAYMOND OTR/L

Occupational Therapist