MR. SCOTT W BRADLEY MSW, CT, PSYA, NPI 1366792368 — CHATHAM (NJ)

NPI 1366792368

7+ Years Experience Individual

MR. SCOTT W BRADLEY MSW, CT, PSYA

09/17/2012
PROVIDER ENUMERATION DATE
09/17/2012
LAST UPDATE DATE
1366792368
NPI NUMBER

About MR. SCOTT W BRADLEY

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MR. SCOTT W BRADLEY is a provider established in CHATHAM, NJ. The NPI number of MR. SCOTT W BRADLEY is 1366792368 and was assigned on 09/17/2012. The practitioners primary taxonomy code is: 102L00000X .

Mailing address

  • City: CHATHAM
  • State: NJ
  • Postal code: 79282107
  • Phone: 9736651782
  • Fax: 9736357077
  • Address: 19 WASHINGTON AVE

Primary Practice Address

  • Region : CHATHAM, NJ
  • NPI : 1366792368
  • Phone : 9736651782
  • Fax : 9736357077
  • Postalcode : 79282107
  • Address : 19 WASHINGTON AVE

Provider taxonomy - Psychoanalyst

  • Taxonomy code: 102L00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst"s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.

Contacts:

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  • MR. SCOTT W BRADLEY MSW, CT, PSYA
  • Address : 19 WASHINGTON AVE
  • Region : CHATHAM, NJ
  • NPI : 1366792368
  • Phone : 9736651782
  • Fax : 9736357077
  • Postalcode : 79282107

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address19 WASHINGTON AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCHATHAM
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNJ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code79282107
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9736651782
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9736357077
The fax number associated with the location address of the provider being identified.
NPI1366792368
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1102L00000X
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst"s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
Provider Enumeration Date09/17/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated09/17/2012
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MR. SCOTT W BRADLEY
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address19 WASHINGTON AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameCHATHAM
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNJ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code79282107
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9736651782
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9736357077
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1102L00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Psychoanalyst
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst"s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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