DR. MICHAEL SCOTT BRADY (PH.D.) – Clinical Psychologist, NPI 1366530271

DR. MICHAEL SCOTT BRADY (PH.D.) is a healthcare provider. based in Grand haven, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301012763 (MI). The NPI Number for DR. MICHAEL SCOTT BRADY (PH.D.) is 1366530271

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL SCOTT BRADY (PH.D.)
NPI
1366530271
Phone
(989) 576-0554
Address
726 FRANKLIN AVE
Enumeration Date
10 October 2006
Last Update Date
20 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893314545
Graduation Year
2004 (22 years ago)
PAC ID
6103881271
Group Practice PAC ID
6709180193
Professional Enrollment ID
I20070102000271
Address ID
MI488011133AL1200XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. MICHAEL SCOTT BRADY (PH.D.)

  • 726, Franklin Avenue, Grand Haven, Ottawa County, Michigan, 49417, United States

    GRAND HAVEN, MI 494173401

    Phone: (989) 576-0554

    Fax: (989) 463-6390

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070102000271IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49417)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709180193View full group profile
NameSpecialtyState
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL SCOTT BRADY (PH.D.)?
The federal identifier for DR. MICHAEL SCOTT BRADY (PH.D.) is NPI 1366530271.
Is DR. MICHAEL SCOTT BRADY (PH.D.) active in the national directory?
DR. MICHAEL SCOTT BRADY (PH.D.)'s public NPI profile is in an active state.
Does DR. MICHAEL SCOTT BRADY (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. MICHAEL SCOTT BRADY (PH.D.). Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL SCOTT BRADY (PH.D.) practice in Michigan?
You will see Grand Haven, Michigan on file for DR. MICHAEL SCOTT BRADY (PH.D.) alongside any extra practice locations.
How can I contact DR. MICHAEL SCOTT BRADY (PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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