Active NPI
Dianna Bruno, PSYD, LMHC
- Clinical Psychologist
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017707-1
- Practice address
- 419 Walnut Ave
Niagara Falls, NY 14301-1725 - Phone
- (716) 285-1904
- Fax
- (716) 284-8262
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017707-1 | NY | Primary |
Addresses
Primary practice location
419 Walnut Ave
Niagara Falls, NY 14301-1725
Mailing address
419 Walnut Ave
Niagara Falls, NY 14301-1725
Phone (716) 285-1904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
144 Genesee St
Buffalo, NY 14203-1560
275 Northepoint Pkwy
Suite 50
Amherst, NY 14228-1895
3 Corporate Dr
Suite 100
Halfmoon, NY 12065-8635
3 E Evergreen Rd
Suite 123
New City, NY 10956-5145
397 Little Neck Rd
3300 South BLDG. 300
Virginia Beach, VA 23452-7327
419 Walnut Ave
Niagara Falls, NY 14301-1725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017707-1 | NY | MD | Clinical Psychologist |
| 017707 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Medical Concierge Services, PLLC | Current | Accepting new patients | |
| Louis P. Labarber, PHD, CSW, P.C. | Current | Accepting new patients | |
| Junaid Hashim MD | Past | Accepting new patients |
Locations
1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028
419 Walnut Ave
Niagara Falls, NY 14301
Phone (716) 285-1904
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Psychiatry Physician
- Williamsville, NY
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1073554556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 WALNUT AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011725",
"telephone_number": "716-285-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WALNUT AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011725",
"telephone_number": "716-285-1904",
"fax_number": "716-284-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "DIANNA",
"name_prefix": "Dr.",
"credential": "PSYD, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017707-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.