DR. JARED BRUCE


Address: 10555 Marty St Ste 100, Overland Park, KS 66212-2555
Phone: 9136498823

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).

Provider Overview

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

Taxonomy

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

Other Providers JARED BRUCE

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

Office Location

Street Address 10555 MARTY ST STE 100
City OVERLAND PARK
State KS
Zip Code 66212-2555

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City OVERLAND PARK
Zip Code 66212

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Dataset Information

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.

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