Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stacy Denise Bradley, PSYD

Individual provider Clinical Psychologist · NPI 1437274776

Dr. Stacy Denise Bradley, PSYD is a Clinical Psychologist in Charlotte, North Carolina. Qualified in 2002, 24 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

620 Tom Hunter Rd
Charlotte, NC 28213-5511
Phone: (276) 601-6197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2845 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2845 (NC)

Record details

NPI number1437274776
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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