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Theresa Claire Bradbury

NPI 1376204602ActiveIndividual· Psychologist· Sebastopol, CA

Psychologist in Sebastopol, California, with an NPI issued in January 2022.

Overview

NPI1376204602
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJan 8, 2022
Last updated in NPPESJan 8, 2022
Certified by providerJan 8, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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