Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Bradley Robert Nelson, MALP

Individual provider Psychologist · NPI 1902822919

Mr. Bradley Robert Nelson, MALP is a Clinical Psychologist in Grand Rapids, Minnesota. Qualified in 1987, 39 years ago. Practices with Northland Counseling Center Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
39
Licensed in
MN
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

215 SE 2nd Ave
Grand Rapids, MN 55744-3615
Phone: (218) 326-1274
Fax: (218) 326-9787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence LP0590 (MN)
Psychologist Taxonomy 103T00000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X

Record details

NPI number1902822919
Entity typeIndividual (Type 1)
GenderMale
Credentials MALP
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address215 Se 2nd Ave, Grand Rapids, MN 55744-3615

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Northland Counseling Center Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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