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East Bay Psychology, PC

Clinical Psychologist in Traverse City, MI · enumerated 2015 · authorized official Terence Bradley, Owner & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417346966

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Registry record

Entity type Organization (Type 2)
Legal business name East Bay Psychology, PC
Practice address 3926 Village Circle Dr., Traverse City, MI, 49686
Fax (231) 938-5900
Enumeration date Jan 21, 2015
Last updated in NPPES Jan 23, 2015

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 6301002718 (MI) Primary

Authorized official

Name Terence Bradley
Title Owner & Ceo

Other identifiers

Identifier Type State Issuer
0B81230 Other MI BCBS-M
0Z5488 Other MI BCBS-M

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for East Bay Psychology, PC?
The NPI for East Bay Psychology, PC is 1417346966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for East Bay Psychology, PC?
NPPES lists Terence Bradley (Owner & Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-23.