DR. JARED BRUCE (NPI# 1588954200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588954200 |
Entity Type | Individual |
Full Name | DR. JARED BRUCE |
Credential | PH.D. |
Practice Address |
10555 Marty St Ste 100 Overland Park KS 66212-2555 |
Mailing Address |
2107 W 78th St Prairie Village KS 66208-3812 |
Practice Telephone | 9136498823 |
Mailing Telephone | 4014994043 |
Enumeration Date | 2011-04-14 |
Last Update Date | 2011-04-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | 2008007983 | MO | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | 1951 | KS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295272433 | Jared Bruce | Student in an Organized Health Care Education/Training Program | 4545 W Beardsley Rd Apt 2048, Glendale, AZ 85308-5078 | 2017-01-26 |
1821592395 | Jared Bruce | Counselor | 200 6th St, Gruver, IA 51334-8518 | 2018-03-20 |
Street Address |
10555 MARTY ST STE 100 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66212-2555 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346730793 | Jennifer Hodgson | Psychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2018-05-11 |
1356856231 | Nathan Fite | Psychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2017-12-13 |
1285988378 | Chris Collier Sexton | Social Worker | 10555 Marty St Ste 100, Overland Park, KS 66212 | 2012-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
Find all providers in zip 66212 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275897597 | Meredith Lubow | Clinical Neuropsychologist | 14105 Stearns St, Overland Park, KS 66221-8089 | 2012-07-02 |
1447796420 | Keith Kobes, LLC | Clinical Neuropsychologist | 8575 W. 110th St, 218, Overland Park, KS 66210-2620 | 2017-01-13 |
1336218536 | Martin Dale Zehr | Clinical Neuropsychologist | 7501 College Blvd., Suite 250, Overland Park, KS 66210-1944 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295368157 | Neuropsychology Services of Kansas | Clinical Neuropsychologist | 10111 E 21st St N Ste 401, Wichita, KS 67206-3581 | 2020-02-19 |
1982081162 | Adam C Parks | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2015-04-27 |
1134328420 | David R. Mouille | Clinical Neuropsychologist | 4786 Black Swan Dr, Shawnee, KS 66216-1235 | 2007-07-16 |
1134274822 | Sally Ann Frutiger | Clinical Neuropsychologist | Center for Neuropsychology, University of Kansas Hospital, Kansas City, KS 66160-0001 | 2007-01-24 |
1477648111 | Eric Phillip Ecklund-johnson | Clinical Neuropsychologist | University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 1059, Kansas City, KS 66160-0001 | 2006-10-04 |
1427061209 | Melinda Anne Shaver | Clinical Neuropsychologist | 201 N Penn Ave, Suite 507, Independence, KS 67301-3357 | 2006-08-14 |
1427053784 | Marc A Quillen | Clinical Neuropsychologist | 4217 Briarwood Dr, Lawrence, KS 66049-1998 | 2005-06-14 |
1770197790 | Amanda Brunette | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2020-09-08 |
1619420718 | Phillip K Martin | Clinical Neuropsychologist | 7829 E Rockhill St, Attn: Credentialing, Wichita, KS 67206-3920 | 2016-07-26 |
1922416015 | Carrie Dianne Spresser | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy, Suite 2180, Fairway, KS 66205-2522 | 2014-08-01 |
Find all providers with the same taxonomy |
City | OVERLAND PARK |
Zip Code | 66212 |
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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.