Individual provider Active NPI

Steven Edward Bruce, PHD

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1255502472
Registry record updated Mar 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2006020048 Issued in MO
Practice address
7606 Maryland Ave
Saint Louis, MO 63105-3863
Phone
(314) 516-7204
Fax
(314) 516-7233
NPI assigned
Mar 15, 2008
Last updated
Mar 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2006020048 MO Primary
Clinical Psychologist 103TC0700X PS00705 RI

Addresses

Primary practice location

7606 Maryland Ave
Saint Louis, MO 63105-3863

Mailing address

7606 Maryland Ave
Saint Louis, MO 63105-3863
Phone (314) 516-7204

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2006020048MOMDClinical Psychologist
PS00705RIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205539200000",
    "number": "1255502472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053863",
            "telephone_number": "314-516-7204",
            "fax_number": "314-516-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053863",
            "telephone_number": "314-516-7204",
            "fax_number": "314-516-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-15",
        "last_updated": "2008-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006020048",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; 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.