Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley S Mazick, PHD, HSPP

Individual provider Clinical Psychologist · NPI 1518933779

Bradley S Mazick, PHD, HSPP is a Clinical Psychologist in South Bend, Indiana. Qualified in 1990, 36 years ago. Practices with Behavior Services and Therapy, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
36
Licensed in
IN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1920 Ridgedale Rd
South Bend, IN 46614-2243
Phone: (574) 231-8000
Fax: (574) 231-8013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20041080 (IN)

Record details

NPI number1518933779
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , HSPP
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESJuly 22, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Behavior Services And Therapy, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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