BRADLEY S MAZICK PHD,HSPP
NPI 1518933779
Psychologist - Clinical in South Bend, IN

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
1920 RIDGEDALE RD, SOUTH BEND, IN 46614(574) 231-8000(574) 231-8013 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley S Mazick Phd,hspp NPPES

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

BRADLEY S MAZICK PHD,HSPP (NPI 1518933779) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (20041080) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1518933779
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameBRADLEY S MAZICKCredential: PHD,HSPP
Location Address1920 RIDGEDALE RDSouth Bend, IN 46614-2243
Mailing Address1920 Ridgedale RdSouth Bend, IN 46614-2243 · (574) 231-8000 · Fax (574) 231-8013
Fax(574) 231-8013
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 22, 2014
NPI 1518933779 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 IN · 20041080
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.

1920 RIDGEDALE RD, South Bend, IN 46614

Other Identifiers 2

Medicaid200200720AIN
Medicare ID-Type Unspecified237590YIN

Accepted 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

Bradley S Mazick Phd,hspp 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 ID4789764184
PECOS Enrollment IDI20230314000221
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46614 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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
1920 RIDGEDALE RD
SOUTH BEND, IN 46614

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 Bradley Mazick's NPI number?

The NPI number for Bradley Mazick is 1518933779. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Bradley Mazick located?

Bradley Mazick practices at 1920 Ridgedale Rd, South Bend, IN 46614. The listed phone number is (574) 231-8000.

What is Bradley Mazick's specialty?

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

Is Bradley Mazick enrolled in Medicare?

Yes. Bradley Mazick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Mazick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Bradley Mazick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Mazick was last updated on July 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.