Individual provider Active NPI

Thomas Peter Bruce, PSY.D.

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1194962761
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0003500 Issued in FL
Practice address
2199 Ponce de Leon Blvd
Suite 304
Coral Gables, FL 33134-5232
Phone
(305) 444-0403
Fax
(305) 444-0403
NPI assigned
Jan 19, 2009
Last updated
Jan 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0003500 FL Primary

Addresses

Primary practice location

2199 Ponce de Leon Blvd
Suite 304
Coral Gables, FL 33134-5232

Mailing address

2199 Ponce de Leon Blvd
Suite 304
Coral Gables, FL 33134-5232
Phone (305) 444-0403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1194962761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 PONCE DE LEON BLVD",
            "address_2": "SUITE 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345232",
            "telephone_number": "305-444-0403",
            "fax_number": "305-444-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 PONCE DE LEON BLVD",
            "address_2": "SUITE 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345232",
            "telephone_number": "305-444-0403",
            "fax_number": "305-444-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "THOMAS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0003500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.