DR. NICCOLE K BRUSA (NPI# 1336507342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336507342 |
| Entity Type | Individual |
| Full Name | DR. NICCOLE K BRUSA |
| Credential | PSY.D |
| Practice Address |
121 Fairfield Way Suite 240 Bloomingdale IL 60108-1588 |
| Practice Telephone | 6303092989 |
| Mailing Telephone | 6303092989 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071009162 | IL | Behavioral Health & Social Service Providers |
| Street Address |
121 FAIRFIELD WAY SUITE 240 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-1588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700992799 | Emad Mohammed Amer | Psychiatry & Neurology | 121 Fairfield Way, Suite 240, Bloomingdale, IL 60108-1588 | 2006-08-22 |
| 1073960449 | Vpa PC | Radiology | 121 Fairfield Way, Ste. 207, Bloomingdale, IL 60108-1588 | 2016-05-16 |
| 1871968438 | Triple Aim Medical Management Inc | Home Health | 121 Fairfield Way, Suite 207, Bloomingdale, IL 60108-1588 | 2015-12-08 |
| 1649643131 | Phcs Plus Professional Corporation | Internal Medicine | 121 Fairfield Way, Suite 207, Bloomingdale, IL 60108 | 2015-11-05 |
| 1831403567 | Gregory L. Gill | Physician Assistant | 121 Fairfield Way, Suite 207, Bloomingdale, IL 60108-1588 | 2010-08-05 |
| 1447570700 | North American Home Health Care Inc | Home Health | 121 Fairfield Way, Suite 224, Bloomingdale, IL 60108-1588 | 2010-06-09 |
| 1982858601 | Sweta V George | Physician Assistant | 121 Fairfield Way, Suite 207, Bloomingdale, IL 60108-1588 | 2008-11-07 |
| 1417114620 | Smitha Suravaram | Family Medicine | 121 Fairfield Way, Ste 207, Bloomingdale, IL 60108-1588 | 2008-05-16 |
| 1437330305 | Physician Home Care Services Plus Inc | Specialist | 121 Fairfield Way, Suite 207, Bloomingdale, IL 60108-1588 | 2007-11-20 |
| 1700070679 | Physician Home Care Services, Inc. | Specialist | 121 Fairfield Way, Suite 207, Bloomingdale, IL 60108-1588 | 2007-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700197480 | Glendale Psychological Services | Psychologist | 125 Fairfield Way Ste 280, Bloomingdale, IL 60108-1577 | 2010-06-28 |
| 1760675896 | Martha H Angel | Psychologist | 292 Lorraine Cir, Bloomingdale, IL 60108-2547 | 2007-08-22 |
| 1720613045 | Javier Antonio Cortez | Psychologist | 311 Edgewater Dr, Bloomingdale, IL 60108-1979 | 2020-03-06 |
| 1578963013 | Jennifer Jackman Charles | Psychologist | 1 Tiffany Pt, Suite 117, Bloomingdale, IL 60108-2936 | 2014-09-03 |
| 1629409651 | Melissa Ann Cinquegrani-pence | Psychologist | 1 Tiffany Pt, #105, Bloomingdale, IL 60108-2936 | 2013-12-02 |
| 1447485800 | Jennifer R Stelter | Psychologist | 1 Tiffany Pt, Ste 111, Bloomingdale, IL 60108-2936 | 2009-05-28 |
| 1447473590 | Dr.lalita Batra & Associates | Psychologist | 303 E Army Trail Rd, Suite-207, Bloomingdale, IL 60108-2169 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on DR. NICCOLE K BRUSA.
| 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.