Bruce I. Derman Psychological Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

PSY-3246 Issued in CA

Legal business name

BRUCE I. DERMAN PSYCHOLOGICAL CORPORATION

Practice address

23011 Oxnard St
Woodland Hills, CA 91367-3232

Phone

(818) 348-5133

Fax

(818) 704-1453

NPI assigned

Oct 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce I. Derman, PH.D.

Title

Psychologist

Phone

(818) 348-5133

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1013345651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23011 OXNARD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673232",
            "telephone_number": "818-348-5133",
            "fax_number": "818-704-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23011 OXNARD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673232",
            "telephone_number": "818-348-5133",
            "fax_number": "818-704-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE I. DERMAN PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "DERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-348-5133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "PSY-3246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kherra Brown
• Kristofer Brown
• Laurin Marin Brown, MA
• Nicole Brown, PSY.D.
• Nikita Vernell Brown
• Mara Stephanie Bruckner, M.A., M.F.T.
• Holly Patricia Brumbach
• Christine Ann Bruney, RPH
• Bryan Keropian, DDS a Professional Corporation
• Janai Bryant

• Preferred Provider Organization in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.