MR. GEOFFREY KEVIN BRUNO SR. (NPI# 1982140745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982140745 |
| Entity Type | Individual |
| Full Name | MR. GEOFFREY KEVIN BRUNO SR. |
| Practice Address |
21203 Park Valley Dr Katy TX 77450-4820 |
| Practice Telephone | 2105630768 |
| Mailing Telephone | 2105630768 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 171W00000X | Contractor | Other Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
21203 PARK VALLEY DR |
| City | KATY |
| State | TX |
| Zip Code | 77450-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987198 | Amlad LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20622 Ginger Hill Ln, Katy, TX 77449-1406 | 2020-06-19 |
| 1073172623 | Angels Life Skills Center, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20829 Kingsland Blvd Ste D, Katy, TX 77450-2713 | 2019-06-07 |
| 1922663178 | Deloris N Ibe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4519 Capella Riviera Dr, Katy, TX 77493-3321 | 2019-05-03 |
| 1538621156 | Agape Individuality Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19130 Cotton Gin Dr, Katy, TX 77449-5249 | 2019-04-02 |
| 1629536305 | Heavenly Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2403 Village Stone Ct, Katy, TX 77493-1476 | 2019-03-12 |
| 1144788555 | Alice Lane | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6855 S Mason Rd Apt 1108, Katy, TX 77450-1233 | 2019-03-05 |
| 1891211181 | Authentic Adorable Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 Defoe Dr, Katy, TX 77449 | 2017-08-17 |
| 1164851903 | Emerging Medical Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24907 Spring Aspen Ct, Katy, TX 77494-6439 | 2013-11-02 |
| 1801138086 | Rhema Living Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6707 Wide Creek Dr, Katy, TX 77449-6373 | 2013-03-26 |
| 1942540331 | Jovic Care Group Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24906 Lodenstone Ct, Katy, TX 77494 | 2013-02-21 |
| Find all providers in KATY | ||||
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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.