TED TERRY BRUCE (NPI# 1043376734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043376734 |
| Entity Type | Individual |
| Full Name | TED TERRY BRUCE |
| Credential | MSW LICSW |
| Practice Address |
6110 N Port Washington Rd Glendale WI 53217 |
| Practice Telephone | 4143327400 |
| Practice Fax Number | 4149636866 |
| Mailing Telephone | 4143323322 |
| Mailing Fax Number | 4149636866 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
3906-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
6110 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932146172 | Diane Marie Mosnik | Clinical Neuropsychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-05-31 |
| 1902317993 | Cheryl Ann Honeycutt | Registered Nurse | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2017-10-17 |
| 1770012056 | Strong Home Care and Companions | Home Health | 6110 N Port Washington Rd, Suite 3, Glendale, WI 53217 | 2017-06-08 |
| 1205388600 | Kate Halbach | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-11-01 |
| 1013369271 | Rebecca Zimmermann | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2016-07-11 |
| 1982000758 | Medical Psychology Associates | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2014-11-06 |
| 1477871267 | Janet Helen Mcclintock | Counselor | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2010-05-04 |
| 1902093289 | The Cambridge Group | Community/Behavioral Health | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-10-01 |
| 1245425354 | Neurobehavioral Health Clinic | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-09-11 |
| 1780892026 | Marty Sapp | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245390566 | Eliza Khanjian | Psychologist | 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 | 2006-12-08 |
| 1881197291 | Anush Gagua | Psychologist | 230 N Maryland Ave Ste 209, Glendale, CA 91206-4282 | 2018-03-12 |
| 1528374154 | Amanda Octavia Nichole Hardy | Psychologist | 7219 N Litchfield Rd, Glendale, AZ 85309-1529 | 2010-08-20 |
| 1033207386 | Caroline G Schmidt | Psychologist | 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217-4929 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629607619 | Eleanor Arlene Tidball | Psychologist | 13320 W Grange Ave, New Berlin, WI 53151-8131 | 2020-04-02 |
| 1134769441 | Graham Gardner Knowlton | Psychologist | Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-01-14 |
| 1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1770133555 | Kerrin Sendrowitz O'connor | Psychologist | 1509 S Outagamie St, Appleton, WI 54914-5580 | 2019-09-13 |
| 1982193546 | Samantha Jo Schwartz-oscar | Psychologist | 2809 School Rd, Greenleaf, WI 54126-9209 | 2018-05-08 |
| 1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
| 1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
| 1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
| 1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.