Mr Kelsey Michael Bradshaw, PHD - Psychologist in San Marcos, CA

Mr Kelsey Michael Bradshaw, PHD is a Psychologist - Clinical based in San Marcos, California. Mr Kelsey Michael Bradshaw is licensed to practice in California (license number PSY28095) and his current practice location is 145 Vallecitos De Oro Ste 210, San Marcos, California. He can be reached at his office (for appointments etc.) via phone at (619) 668-6200.

NPI number for Mr Kelsey Michael Bradshaw is 1629387766 and his current mailing address is 910 Del Dios Rd Apt 93, Escondido, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629387766.

Contact Information

Mr Kelsey Michael Bradshaw, PHD
145 Vallecitos De Oro Ste 210,
San Marcos, CA 92069-1459
(619) 668-6200
Not Available



Healthcare Provider's Profile

Full NameMr Kelsey Michael Bradshaw
GenderMale
SpecialityPsychologist - Clinical
Location145 Vallecitos De Oro Ste 210, San Marcos, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629387766
  • Provider Enumeration Date: 10/06/2010
  • Last Update Date: 03/24/2016

Medical Identifiers

Medical identifiers for Mr Kelsey Michael Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629387766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY28095 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kelsey Michael Bradshaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kelsey Michael Bradshaw, PHD
910 Del Dios Rd Apt 93,
Escondido, CA 92029-2250

Ph: (208) 310-9884
Mr Kelsey Michael Bradshaw, PHD
145 Vallecitos De Oro Ste 210,
San Marcos, CA 92069-1459

Ph: (619) 668-6200

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