MS. MARILYN ELIZABETH BRUNO (NPI# 1275938979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275938979 |
| Entity Type | Individual |
| Full Name | MS. MARILYN ELIZABETH BRUNO |
| Credential | MA, ATR-BC, LPC |
| Practice Address |
1930 S Broad St Unit 16 Philadelphia PA 19145-2328 |
| Mailing Address |
1930 S Broad St The Art of Wellness Unit 16 Philadelphia PA 19145-2328 |
| Practice Telephone | 2156273339 |
| Mailing Telephone | 2156273339 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
007833 | PA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
007833 | PA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
007833 | PA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
007833 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1930 S BROAD ST UNIT 16 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437107596 | Khoi Dang | Pediatrics | 1930 S Broad St, 2nd Floor, Philadelphia, PA 19145-2328 | 2006-05-04 |
| 1124628060 | Kristen Mulray | Psychologist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2020-10-29 |
| 1700438660 | Malvern Constitution LLC | Psychiatric Hospital | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2019-07-11 |
| 1629540802 | Vivek N Brahmbhatt | Pharmacist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2018-12-27 |
| 1902313810 | Reeba Baboo | Speech-Language Pathologist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2018-01-02 |
| 1679082465 | Krista Coons | Psychologist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2017-09-25 |
| 1962927194 | Adrienne Blaire Gallo | Psychologist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2017-08-09 |
| 1710428859 | Kathleen Jasion | Counselor | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2017-03-08 |
| 1053766089 | Acute Care Physicians of Philadelphia LLC | Internal Medicine | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2016-04-27 |
| 1285009696 | Dorothy Latella-zakhireh | Clinical Neuropsychologist | 1930 S Broad St, Ima, Philadelphia, PA 19145 | 2015-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
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|---|---|---|---|---|
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1013516806 | Being, LLC | Counselor | 1736 Kendrick St, Philadelphia, PA 19152-1816 | 2020-10-22 |
| 1821605809 | Jessica Briddell-hasben | Counselor | 829 Grakyn Ln, Philadelphia, PA 19128-2005 | 2020-09-24 |
| 1538776653 | Eric Brown | Counselor | 8227 Thouron Ave, Philadelphia, PA 19150-2018 | 2020-09-24 |
| 1740896661 | Keya Middleton | Counselor | 2030 N 56th St, Philadelphia, PA 19131-3132 | 2020-09-16 |
| 1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
| 1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
| 1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
| 1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
| 1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on MS. MARILYN ELIZABETH BRUNO.
| 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.