WILLIAM RAYMOND BRADLEY
NPI 1962051219
Counselor - Mental Health in Springfield, MA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 10, 2019

332 BIRNIE AVE, SPRINGFIELD, MA 01107(413) 733-6624 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2023, Sep 10, 2019 (2 updates tracked since 2019).

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About William Raymond Bradley NPPES

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

WILLIAM RAYMOND BRADLEY (NPI 1962051219) is an individual mental health provider in Springfield, Massachusetts, licensed in Connecticut (6525) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1962051219

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameWILLIAM RAYMOND BRADLEY

Location Address332 BIRNIE AVESpringfield, MA 01107-1104

Mailing Address72 Prospect StStafford Springs, CT 06076-1125 · (860) 458-8008

Phone(413) 733-6624

Sole ProprietorYes

Enumeration DateSeptember 10, 2019

Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration

NPPES CertifiedOctober 26, 2023

✔ NPI 1962051219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CT · 6525

332 BIRNIE AVE, Springfield, MA 01107

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Other Identifiers 1

Other6525CT · Lpc Licensure

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

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