NPIMap

Organization Active NPI

Dr.Constantine Bruns

  • Clinical Psychologist
  • Skokie, IL
National Provider Identifier
1164846457
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071002733 Issued in IL
Legal business name
DR.CONSTANTINE BRUNS
Doing business as
Dr.Constantine Bruns
Practice address
8170 McCormick Blvd
Suite 204
Skokie, IL 60076-2961
Phone
(847) 410-2029
Fax
(847) 410-2041
NPI assigned
Feb 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Dr. Constantine B Bruns Jr., PSYCHOLOGIST
Title
Psychologist
Phone
(847) 410-2029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071002733 IL Primary

Addresses

Primary practice location

8170 McCormick Blvd
Suite 204
Skokie, IL 60076-2961

Mailing address

8170 McCormick Blvd
Suite 204
Skokie, IL 60076-2961
Phone (847) 410-2029

Other names 1

  • Dr.Constantine Bruns Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1164846457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "SUITE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-410-2029",
            "fax_number": "847-410-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "SUITE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-410-2029",
            "fax_number": "847-410-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.CONSTANTINE BRUNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-410-2029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.Constantine Bruns",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.