TONY BRUDER, PH D & ASSOCIATES P C (NPI# 1851483853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851483853 |
| Entity Type | Organization |
| Organization Name | TONY BRUDER, PH D & ASSOCIATES P C |
| Other Organization Name | BRUDER COUNSELING CENTER |
| Practice Address |
289 Independence Blvd Ste 221 Virginia Beach VA 23462 |
| Practice Telephone | 7574989320 |
| Practice Fax Number | 7574989321 |
| Mailing Telephone | 7574989320 |
| Mailing Fax Number | 7574989321 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-06-22 |
| Authorized Official Name | ANTHONY H. BRUDER (OWNER) |
| Authorized Official Telephone | 7574989320 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRICARE GROUP PROVIDER # | 340992 | 01 |
| Other Name | Type Code |
|---|---|
| Bruder Counseling Center | Doing Business As Name - Organization |
| Street Address |
289 INDEPENDENCE BLVD STE 221 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998016 | Sreeja Kadakkal | Specialist | 289 Independence Blvd, Ste 312, Virginia Beach, VA 23462-5493 | 2005-08-10 |
| 1942651161 | Demaris Santiago | Social Worker | 289 Independence Blvd, Suite 245, Virginia Beach, VA 23462-5493 | 2016-06-29 |
| 1477926368 | Sarah Mitchell | Counselor | 289 Independence Blvd, Suite 245, Virginia Beach, VA 23462-5493 | 2015-11-02 |
| 1538535109 | Elizabeth A Custodero | Social Worker | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2015-08-18 |
| 1912389909 | Kyle Keller | Counselor | 289 Independence Blvd, Ste 312, Virginia Beach, VA 23462-5493 | 2015-06-25 |
| 1447652375 | Denise Smith | Social Worker | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2014-09-23 |
| 1487054961 | Tiana Minter | Social Worker | 289 Independence Blvd, Suite 245, Virginia Beach, VA 23462-5493 | 2014-09-03 |
| 1891105037 | Jessica Malone | Counselor | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2014-04-28 |
| 1164842423 | Melissa Mary Caldwell | Social Worker | 289 Independence Blvd, Pembroke 3 Suite 221, Virginia Beach, VA 23462-5493 | 2014-04-24 |
| 1326464173 | Margaret Mary Morris | Counselor | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104121342 | Jesseca Lee Holston | Marriage & Family Therapist | 2501 Alleghany Loop, Virginia Beach, VA 23456-2442 | 2011-01-19 |
| 1275797490 | Sara Catherine Fortin | Marriage & Family Therapist | 221 Luna Ave, Apt. 201, Virginia Beach, VA 23462 | 2008-07-16 |
| 1841409968 | Cron A Gibson | Marriage & Family Therapist | 2008 Breton Ct, Virginia Beach, VA 23454-2211 | 2007-05-22 |
| 1548377732 | Lucille Annette Stubbs | Marriage & Family Therapist | 1213 Laskin Rd, Suite 104, Virginia Beach, VA 23451-5260 | 2006-08-24 |
| 1699303677 | Pursuit Counseling | Marriage & Family Therapist | 2501 Alleghany Loop, Virginia Beach, VA 23456-2442 | 2020-03-27 |
| 1194219618 | Eric Russell Ward | Marriage & Family Therapist | 333 Kellam Rd, Virginia Beach, VA 23462-2746 | 2018-06-18 |
| 1457886798 | Atlantic Family and Adolescent Therapy, Pllc | Marriage & Family Therapist | 1120 Laskin Rd, Suite 104, Virginia Beach, VA 23451-5273 | 2017-04-24 |
| 1720511009 | Diane Ominski | Marriage & Family Therapist | 4460 Corporation Ln, Virginia Beach, VA 23462-3150 | 2017-04-04 |
| 1174985428 | Tracy Barbee | Marriage & Family Therapist | 4460 Corporation Ln, Virginia Beach, VA 23462-3150 | 2016-03-25 |
| 1245649730 | Jodi Matos | Marriage & Family Therapist | 281 Independence Blvd, Ste.321, Virginia Beach, VA 23462-2986 | 2014-08-08 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on TONY BRUDER, PH D & ASSOCIATES P C.
| 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.