Angela Bruce, PH.D, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1870785 Issued in NY

Practice address

677 Lincoln PL
Brooklyn, NY 11216-4447

Phone

(718) 964-8219

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1285808949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 LINCOLN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164447",
            "telephone_number": "718-964-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 LINCOLN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164447",
            "telephone_number": "718-964-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PH.D,  MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "1870785",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "1870785",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1870785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285808949",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285808949",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Lum Nathaniel Sasson LLP
• Bruce R. Greenbaum DPM PC
• Bruce Zelvin, D.D.S., PLLC
• Roselind Kwaamah Bruce-Vanderpuije, FNP
• Angel Bruce
• J Tyler Bruce, MD
• Monica Bruce, PTA
• Sharan Bruce, M.S., CCC-SLP
• Tina Lynn Bruce, LPN
• Menucha Bruchstat, M.S.

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.