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1154856532 NPI number — LYSSI HARDING BRADY PSYD

NPI Number: 1154856532
Health Care Provider/Practitioner: LYSSI HARDING BRADY PSYD

Information about “1154856532” NPI (LYSSI HARDING BRADY PSYD) exists in 1154856532 in HTML format HTML  |  1154856532 in plain Text format TXT  |  1154856532 in PDF (Portable Document Format) PDF  |  1154856532 in an XML format XML  formats.

NPI Number : 1154856532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154856532",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARDING BRADY",
    "FirstName": "LYSSI",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRADY",
    "OtherFirstName": "LYSSI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7410 HULL STREET RD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH CHESTERFIELD",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23235-5834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2380 N 124TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAUWATOSA",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53226-1071",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-571-2774",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2017",
    "LastUpdateDate": "09/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "0810008980",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "5417-57",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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