Bruce Douglas Casey, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1048 Issued in CO

Practice address

5277 Manhattan Cir
Suite110
Boulder, CO 80303-8201

Phone

(303) 543-5783

Fax

(303) 543-5782

NPI assigned

Mar 6, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275662991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR",
            "address_2": "SUITE110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038201",
            "telephone_number": "303-543-5783",
            "fax_number": "303-543-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR",
            "address_2": "SUITE110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038201",
            "telephone_number": "303-543-5783",
            "fax_number": "303-543-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "BRUCE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annemarie Carzoli, MA, LPC
• Casa Futura Technologies
• Lauren M Casalino, M.A., L.P.C.
• Tracy Casault, D.O.
• Alexis Cascino, NP
• Megan Marie Casey, MS, CACIII
• Sarah Casey
• Susan Caso
• Margaret Caspari, LPC
• Cassandra Reich PT, PC

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.