Jeffrey Joseph Bruno, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

13149 Issued in CA

Practice address

80 Eureka SQ
Suite 215
Pacifica, CA 94044-2654

Phone

(650) 738-0807

Fax

(650) 738-0807

NPI assigned

Apr 14, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023233202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 BEACH BLVD",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442700",
            "telephone_number": "650-738-0807",
            "fax_number": "650-738-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EUREKA SQ",
            "address_2": "SUITE 215",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442654",
            "telephone_number": "650-738-0807",
            "fax_number": "650-738-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "13149",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "13149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Maria Blethen, MA MFT
• Karen Bohall
• Jasmin Sundar Bomanjee
• Cindy Boxerman, PHARMD
• Azia Brown
• Albert E. Burns
• William Maxwell Burns, M.D.
• Joanne Mary Burrows, MA
• Liberty Clamucha Cajayon
• Joseph Calvo

• Clinical Child & Adolescent Psychologist in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.