Janice Kay Brundage, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1428 Issued in AZ

Practice address

3861 E 3Rd St
Tucson, AZ 85716-4646

Phone

(520) 325-8500

Fax

(520) 325-3424

NPI assigned

Jan 31, 2007

Sex

Female

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Madera Counseling Center

  • Psychologist
  • Tucson, AZ
  • NPI 1609998533
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275670911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 E 3RD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164646",
            "telephone_number": "520-325-8500",
            "fax_number": "520-325-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 E 3RD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164646",
            "telephone_number": "520-325-8500",
            "fax_number": "520-325-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDAGE",
        "first_name": "JANICE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estelle Simone Valerie Brugere
• Ryan Patrick Bruhns, MD
• Mary Bruland, LCSW
• Dawn R Brumfield, MSW LCSW
• Bradley George Brumm, D.D.S.
• Brittney Bruner
• Thomas Michael Brunner, PH.D., M.A.
• Bruno Power Transport LLC
• Kathleen Tiu Bruno, FNP-C
• Lauren Bruno, LMSW

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• 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.