Organization Active NPI

The Therapeutic Collective, a Professional Psychological Corporation

  • Clinical Psychologist
  • Fair Oaks, CA
National Provider Identifier
1053203877
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE THERAPEUTIC COLLECTIVE, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
9712 Fair Oaks Blvd Ste C3
Fair Oaks, CA 95628-7032
Phone
(916) 919-0693
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Dr. Andrea L Bruce, PHDNPI 1902080385
Title
Clinical Psychologist, Ceo, Cfo, SE
Phone
(916) 919-0693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9712 Fair Oaks Blvd Ste C3
Fair Oaks, CA 95628-7032

Mailing address

9712 Fair Oaks Blvd Ste C3
Fair Oaks, CA 95628-7032
Phone (916) 919-0693

National Provider Directory

National Provider Directory

Locations

9712 Fair Oaks Blvd
Ste C3
Fair Oaks, CA 95628
Phone (916) 919-0693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1053203877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 FAIR OAKS BLVD STE C3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287032",
            "telephone_number": "916-919-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 FAIR OAKS BLVD STE C3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287032",
            "telephone_number": "916-919-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPEUTIC COLLECTIVE, A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, CEO, CFO, SE",
        "authorized_official_telephone_number": "916-919-0693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.