Individual provider Active NPI

Maija Broox Bruzas, PHD

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1184151334
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018939 Issued in PA
Practice address
3535 Market St Ste 3108
Philadelphia, PA 19104-3313
Phone
(215) 898-4793
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018939 PA Primary

Addresses

Primary practice location

3535 Market St Ste 3108
Philadelphia, PA 19104-3313

Mailing address

3535 Market St Ste 3108
Philadelphia, PA 19104-3313
Phone (215) 898-4793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20200826002389 CO Practitioner - Clinical Psychologist 1557795564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Psychology Associates, PCGroup PAC ID 1759397235, 2 clinicians

Practice addresses (Care Compare)

1610 29TH Ave PL
Suite 200
Greeley, CO 80634-6800
Phone (970) 352-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS018939PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Associates PC CurrentSince Jul 29, 2020 Accepting new patients

Locations

1610 29th Avenue Pl
Ste 200
Greeley, CO 80634
Phone (970) 352-8311

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1184151334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST STE 3108",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043313",
            "telephone_number": "215-898-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST STE 3108",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043313",
            "telephone_number": "215-898-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZAS",
        "first_name": "MAIJA",
        "middle_name": "BROOX",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.