DR. STEPHANIE BRUSS (NPI# 1669992186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669992186 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE BRUSS |
| Credential | PSY.D. |
| Practice Address |
821 Raymond Ave # 130c Saint Paul MN 55114-1503 |
| Practice Telephone | 6124406545 |
| Mailing Telephone | 6124406545 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP5821 | MN | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
LP5821 | MN | Behavioral Health & Social Service Providers |
| Street Address |
821 RAYMOND AVE # 130C |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479316 | Brie Pileggi-valleen | Psychologist | 413 Brandywine Dr, Burnsville, MN 55337-4023 | 2020-02-18 |
| 1326483843 | Franco Peric | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2013-05-10 |
| 1083961635 | National Initiatives for Healthy Youth | Psychologist | 7948 Quail Ave N, Brooklyn Park, MN 55443-2423 | 2012-08-13 |
| 1407023591 | Kelly Wilson | Psychologist | 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 | 2008-05-08 |
| 1043481658 | Edmund Edward Nadolny | Psychologist | 1000 Willmar Ave Sw, Behavioral Forensic Services, Willmar, MN 56201-3067 | 2008-03-23 |
| 1093859332 | Associated Counseling Services, Pllc | Psychologist | 2625 Edgerton St, Little Canada, MN 55117-1620 | 2007-02-19 |
| 1124643408 | Adam Gierok | Psychologist | 1516 W Lake St Ste 110, Minneapolis, MN 55408-2554 | 2020-06-11 |
| 1316587967 | Lauren Reed | Psychologist | 8640 Eagle Creek Cir, Savage, MN 55378-4400 | 2020-01-12 |
| 1598328155 | Superior Forensic Consulting | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2019-04-19 |
| 1376071316 | Alexander G Kovic | Psychologist | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2017-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on DR. STEPHANIE BRUSS.
| 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.