DR. CAROLINE BRADY (PSY.D.) – Clinical Psychologist, NPI 1699644328

DR. CAROLINE BRADY (PSY.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PS020608 (PA). The NPI Number for DR. CAROLINE BRADY (PSY.D.) is 1699644328

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLINE BRADY (PSY.D.)
NPI
1699644328
Phone
(267) 209-0107
Address
255 S 17TH ST STE 1900
Enumeration Date
31 October 2025
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2672773179
Graduation Year
2024 (2 years ago)
PAC ID
4385130475
Group Practice PAC ID
7416341474
Professional Enrollment ID
I20251228000085
Address ID
PA191036216PH255XXSTXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

Provider Addresses for DR. CAROLINE BRADY (PSY.D.)

  • 255 S 17TH ST STE 1900

    PHILADELPHIA, PA 191036231

    Phone: (267) 209-0107

    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: 2025-12-28

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
I20251228000085IClinical PsychologistPATBD

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 19103)

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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: 7416341474View full group profile
NameSpecialtyState
Mental Health CounselorPA
Clinical Social WorkerPA
Mental Health CounselorNJ
Clinical PsychologistPA
P S Y C H I A T R YPA
Mental Health CounselorPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistNJ

Reviews

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Frequently asked questions

What NPI should I save for DR. CAROLINE BRADY (PSY.D.)?
Save NPI 1699644328 if you need a stable reference for DR. CAROLINE BRADY (PSY.D.).
Is DR. CAROLINE BRADY (PSY.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. CAROLINE BRADY (PSY.D.)?
The page reflects Clinical Psychologist for DR. CAROLINE BRADY (PSY.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. CAROLINE BRADY (PSY.D.)?
We surface Philadelphia, Pennsylvania for DR. CAROLINE BRADY (PSY.D.) based on available NPPES addresses.
How can I contact DR. CAROLINE BRADY (PSY.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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