MR. KELSEY MICHAEL BRADSHAW PH.D.
NPI 1629387766
Psychologist - Clinical in San Marcos, CA

Q: What is Kelsey Bradshaw's NPI number?

The NPI number for Kelsey Bradshaw is 1629387766. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Q: What is Kelsey Bradshaw'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 Kelsey Bradshaw was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 06, 2010

145 VALLECITOS DE ORO STE 210, SAN MARCOS, CA 92069(619) 668-6200 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Kelsey Michael Bradshaw Ph.d. NPPES

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

MR. KELSEY MICHAEL BRADSHAW PH.D. (NPI 1629387766) is an individual clinical provider in San Marcos, California, licensed in California (PSY28095) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1629387766

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. KELSEY MICHAEL BRADSHAWCredential: PH.D.

Location Address145 VALLECITOS DE ORO STE 210San Marcos, CA 92069-1459

Mailing Address910 Del Dios Rd Apt 93Escondido, CA 92029-2250 · (208) 310-9884

Phone(619) 668-6200

Sole ProprietorYes

Enumeration DateOctober 6, 2010

Last NPPES UpdateMarch 24, 2016

✔ NPI 1629387766 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 CA · PSY28095

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.

145 VALLECITOS DE ORO STE 210, San Marcos, CA 92069

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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 Kelsey Bradshaw's NPI number?

The NPI number for Kelsey Bradshaw is 1629387766. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Where is Kelsey Bradshaw located?

Kelsey Bradshaw practices at 145 Vallecitos De Oro Ste 210, San Marcos, CA 92069. The listed phone number is (619) 668-6200.

What is Kelsey Bradshaw'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 Kelsey Bradshaw was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.