East Bay Psychology, PC
NPI 1417346966ActiveOrganization· Psychologist, Clinical· Traverse City, MI
Psychologist, Clinical in Traverse City, Michigan, registered in NPPES in January 2015. The authorized official on file is Terence Lee Bradley, PHD, Owner & Ceo.
Overview
| NPI | 1417346966 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2015 |
| Last updated in NPPES | Jan 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301002718 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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