CHARLES B BRADSHAW PH.D
NPI 1780632851
Clinical Neuropsychologist in Syracuse, NY
- Individual
- Male
- Clinical Neuropsychologist
About CHARLES BRADSHAW
This page provides the complete NPI Profile along with additional information for Charles Bradshaw, a provider established in Syracuse, New York with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1780632851 assigned on May 2006. The practitioner's primary taxonomy code is 103G00000X with license number 010159 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1780632851 Verify this NPI
- Provider Name
- CHARLES B BRADSHAW PH.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 750 E ADAMS ST DEPARTMENT OF NEUROLOGY SYRACUSE, NY 13210
- Location Phone
- (315) 464-5016
- Location Fax
- (315) 464-5355
- Mailing Address
- 750 E ADAMS ST SYRACUSE, NY 13210
- Mailing Phone
- (315) 464-5016
- Mailing Fax
- (315) 464-7328
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-04-2006
- Last Update Date
- 01-23-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 010159
- License State
- NY
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35124T | MEDICARE PIN (08) | NY | |
| R82316 | MEDICARE UPIN (02) | ||
| 01207905 | MEDICAID (05) | NY |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
SYRACUSE, NY 13210
SYRACUSE, NY 13210
SYRACUSE, NY 13210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780632851, enumerated as an "individual" on May 04, 2006.
The provider is located at 750 E ADAMS ST DEPARTMENT OF NEUROLOGY SYRACUSE, NY 13210 and the phone number is (315) 464-5016.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.