Individual provider Active NPI

Bruce Allen, PH.D.

  • Psychologist
  • Bullhead City, AZ
National Provider Identifier
1346258456
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3777 Issued in AZ
Practice address
2681 Highway 95
Suite 100
Bullhead City, AZ 86442-8490
Phone
(928) 763-9999
Fax
(928) 763-9931
NPI assigned
Aug 4, 2006
Last updated
Dec 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 3777 AZ Primary

Addresses

Primary practice location

2681 Highway 95
Suite 100
Bullhead City, AZ 86442-8490

Mailing address

2865 Shimmering Bay St
Laughlin, NV 89029-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000013 AZ Practitioner - Clinical Psychologist 2961588728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2681 Hway
95 Suite 100
Bullhead City, AZ 86442-8491
Phone (928) 763-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Euthymia, Inc. CurrentSince Jun 1, 2010 Accepting new patients
Associated Bilingual Counselors, Inc. Past Accepting new patients

Locations

2681 Highway 95
Ste 100
Bullhead City, AZ 86442
Phone (928) 763-9999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1346258456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 SHIMMERING BAY ST",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890291252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 HIGHWAY 95",
            "address_2": "SUITE 100",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428490",
            "telephone_number": "928-763-9999",
            "fax_number": "928-763-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.