MR. BRADLEY ROBERT NELSON MALP
NPI 1902822919
Psychologist - Cognitive & Behavioral in Grand Rapids, MN

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
215 SE 2ND AVE, GRAND RAPIDS, MN 55744(218) 326-1274(218) 326-9787 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Bradley Robert Nelson Malp NPPES

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

MR. BRADLEY ROBERT NELSON MALP (NPI 1902822919) is an individual cognitive & behavioral provider in Grand Rapids, Minnesota, licensed in Minnesota (LP0590) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902822919
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameMR. BRADLEY ROBERT NELSONCredential: MALP
Location Address215 SE 2ND AVEGrand Rapids, MN 55744-3615
Mailing Address215 Se 2nd AveGrand Rapids, MN 55744-3615 · (218) 326-1274 · Fax (218) 326-9787
Fax(218) 326-9787
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
NPI 1902822919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in MN · LP0590
Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
215 SE 2ND AVE, Grand Rapids, MN 55744

Other Identifiers 6

Other6275968MN · Medica
Other160767MN · Ucare
Other3032501MN · Preferred One
Other97026MN · Health Partners
Medicaid121052100MN
Other4K585NEMN · Bcbs

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

Mr. Bradley Robert Nelson Malp 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 ID2668994922
PECOS Enrollment IDI20250317002628
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.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
215 SE 2ND AVE
GRAND RAPIDS, MN 55744
Marriage & Family Therapist
215 SE 2ND AVE
GRAND RAPIDS, MN 55744
Psychologist (Clinical)
215 SE 2ND AVE
GRAND RAPIDS, MN 55744
Psychologist (Clinical)
215 SE 2ND AVE
GRAND RAPIDS, MN 55744
Psychologist (Prescribing (Medical))
215 SE 2ND AVE
GRAND RAPIDS, MN 55744
Counselor (Mental Health)
215 SE 2ND AVE
GRAND RAPIDS, MN 55744
Counselor (Mental Health)
215 SE 2ND AVE
GRAND RAPIDS, MN 55744
Counselor (Mental Health)
215 SE 2ND AVE
GRAND RAPIDS, MN 55744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902822919, enumerated as an "individual" on July 14, 2006.

The provider is located at 215 SE 2ND AVE GRAND RAPIDS, MN 55744 and the phone number is (218) 326-1274.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.

The provider might be accepting Accepts: HealthPartners, Medica Health Insurance, Medicare,. Please consult your insurance carrier or call the provider to verify.