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

East Bay Psychology, PC

Organization Clinical Psychologist · NPI 1417346966

East Bay Psychology, PC provides Clinical Psychologist services in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3926 Village Circle Dr
Traverse City, MI 49686 Not confirmed with CMS for 11 years — call before visiting
Phone: (231) 938-5900
Fax: (231) 938-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301002718 (MI)

Record details

NPI number1417346966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terence Bradley — Owner & Ceo · (231) 938-5900
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJanuary 23, 2015
Mailing address3926 Village Circle Dr., Traverse City, MI 49686

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