Bradley Robert Nelson, MALP
NPI 1902822919ActiveIndividual· Psychologist, Cognitive & Behavioral· Grand Rapids, MN
Psychologist, Cognitive & Behavioral (MALP) with Northland Counseling Center Inc, practicing in Grand Rapids, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1902822919 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MALP |
| Sole proprietor | No |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Jan 31, 2024 |
| Certified by provider | Jan 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | LP0590 | MN |
| Psychologist | 103T00000X | — | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — | — |
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) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Northland Counseling Center IncGrand Rapids, MN · 25 clinicians