Greg Martin Bruno, PH.D AND LCSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 14956 Issued in CA

Practice address

740 Front St
Suite 320
Santa Cruz, CA 95060-4535

Phone

(831) 588-7299

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1104936434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FRONT ST",
            "address_2": "SUITE 320",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604535",
            "telephone_number": "831-588-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRONT ST",
            "address_2": "SUITE 320",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604535",
            "telephone_number": "831-588-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "GREG",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D AND LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 14956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thomas Brunette
• Alexandra Brunido
• Rosalie Bruning, MFT
• Sabrina Lyndley Brunner
• Shelly Brunner, NP-C
• Nick Brustin
• Lisa Bruzzone
• Ross E Bryan, B.S.B.A., M.A.
• Max Bryer-Bass, LMFT
• Corey Bryks

• Psychologist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.

Verify at the official NPI Registry.